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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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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

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Click here for more sample CPC practice exam questions and answers with full rationale

Looking for Lab/Path Mentor to chat and ask questions!

Hi,

I am a new coder and have only been coding for 6 months now at my current position. Looking to connect with people who can help me improve my skills. I have looked online and there is nothing in the form of a Laboratory Science Coding Certification or Pathology Coding Certification. I really like this specialty and want to excel at what I do. If anyone is interested or has any pointers or guidance that would be great. If you are in the Bay Area would I love to meet at a local library or coffee shop and talk lab/path coding or start a lab/path group that meets once a month that would be awesome!

Look forward to meeting you fellow lab coders!

Thank you!

Natassia

Medical Billing and Coding Forum

Important Questions To Ask Before Selecting A Medical Spa

What is a Medical Spa

Medical Spas could provide outpatient cosmetic procedures. The Med spa can be described as mixture among a Medi clinic and a day spa which operates under the oversight of medical doctor. A Medical spa can focus on facial conditions like dark spots, redness, and lines that cannot be remedied in most circumstances or as effectively by an ordinary esthetician. Med spa services differ, however patients can customarily receive procedures like laser hair removal, photofacials, Radiesse as well as dermal fillers, dermal tightening and others.

Questions To Ask Prior to Choosing A Medical Spa

Ask who owns as well as if the owner operates the medical spa.
Ask if the Med Spa is owned by a doctor as well as whether the physician is genuinely overseeing the spa, and performing treatments. A medical doctor generally must oversee the treatments carried out in the medical spa, but this may not indicate the doctor is physically working at the property. Check the regulations for Med Spas in your town.

Inquire about the technology.
Study the brand of equipment they use during treatments. As the technology is quickly improving, patients demand the state of-the-art machines. More recent innovations assist to decrease pain during treatments. Inquire how recently the lasers were acquired. Prices for advanced laser machines may be very expensive. Skin cooling has become a very important aspect of current State-of-the-art laser hair removal devices. Newer laser devices can dispense significant power, resulting in high temperature near the roots of hair, while at the same time guarding the easily harmed outer area of the epidermis.

Ask who would be performing the procedures
Make sure staff have the relevant qualifications. Qualified Physicians must carry out any cosmetic injections, cosmetic fillers, and laser resurfacing procedures. State rules could vary in regards to the necessary licenses to perform laser hair removal. Again, investigate the regulations for laser skin treatments in your city. Customers typically request photos of previous patients before and after their procedures. An additional helpful question is the credentials the doctor possesses.

What are the likely outcome from a procedure.
Each persons personal scenario are unique and expectations should be considered. Knowledge regarding the treatment the patient is contemplating will help in arriving at the appropriate decision. In addition, the med spa should present a warm, comfortable atmosphere. Inquire about what results should be expected from a partcular procedure. For example, will a procedure reduce skin scarring, reduce wrinkles as well as creases near the eyes, enhance aging skin, stimulate collagen creation as well as the recovery time.

A lot of Medical Spas encourage costless cosmetic discussions to plan the best treatment course for each individual’s unique demands and desires. The best way to learn additiona information is to schedule a complimentary consultation. A consultation at a Med Spa might help to determine if a procedure can enhance the personal image, self-esteem and wellness. Enjoy the road to education and discovery of the numerous options at your local medical spa.

Want to learn additional information about Med Spa in NYC and Perlane in New York City.

Read reviews about Med Spa’s in New York City.

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Silly questions about EKG’s

What does it mean to have a ‘confirmed EKG’?

Does physician have to sign and date the EKG tracing? Where is there documentation for this.

The interpretation can be documented in the patient progress note?

Help me with my silly questions. I keep rereading the same information but I hope the way you describe it will help me out.

Thanks.

Medical Billing and Coding Forum

Job Interview Questions – What to Say in a Medical Sales Interview

Interview preparation in any industry requires that you know what questions are likely to be asked so that you can formulate answers ahead of time, and rehearse your delivery. Typical interview questions and the kind of answers hiring managers are looking for are widely available online with just a little effort, even if you are interviewing for a sales job. But, medical sales interviews can involve more specialized questions than an average sales job, depending on the area you’re in (laboratory, clinical diagnostics, biotechnology, imaging, pathology, hospital equipment, surgical supplies, medical device, or pharmaceutical), although the sales process is generally the same-the difference is in the details. And the details can be taken care of by careful research of the company and its products, goals, and culture.

Questions:

1. Are you in the right location? Will they have to relocate you? Are you even willing to move?

2. Can you travel? Most sales jobs require traveling to customers throughout your region, and medical sales are no exception.

3. Do you have the requirements? What experience/training/education do you have that qualifies you for this job?

4. Do you have the BS degree? Is it in the life sciences? A Life Science degree isn’t always necessary, but a background in chemistry or biology does help. If you don’t have the degree: if you can show specific classes you took in those areas, it increases your chances because it demonstrates some knowledge in the medical arena.

5. What have you done to prepare for this type of opportunity? Hint: Don’t say “nothing”….talk about the sales books you’ve read, the training you’ve taken, the ride-alongs you’ve done with reps in the field, and the information-gathering interviews you’ve done.

6. What are your strengths? Weaknesses? Focus your “strengths” answer to those actual strengths you have that will be a benefit in this job. Candidates usually answer the “weaknesses” with something that isn’t, like “I just work too hard,” but you could go the refreshingly honest route of naming an actual weakness that you, naturally, have already taken steps to overcome.

7. Where do you want to be in 5 years? What are you looking for?

8. How do others describe you? Before you get to the interview, ask a few friends that very question. It may surprise you, and it may give you a fantastic answer. No matter what, though, have the presence of mind to limit your “description” to qualities that would be great in a medical sales rep: energetic, smart, ambitious, dependable, a team player, a leader, loves people, loves technology, fascinated by medical breakthroughs, likes helping others, competitive, loves to travel, etc. They don’t need to know about how much you love your yoga classes, paintball weekends, or your staunch conservatism/liberalism.

9. Who would serve as your references? Be very sure that you know what your references will say about you. When you call to give them a heads up, take that opportunity to coach them on tailoring their answer to what will be the most effective for this particular job.

10. How do you handle conflict? Here’s where you give an example from your past about something that happened with a co-worker or customer, and how you successfully negotiated an agreement that everyone was happy with. Use the STAR approach to answering: State the Situation, the Task that was at hand, the Approach you took, and the Results you got.

11. What would you do…then they give you a tough sales scenario? This is a classic behavioral interview question. If you can, bring it around to something similar that did happen, and what you did about it.

12. How would you build your market? This is an excellent opportunity to introduce your 30/60/90-day sales plan, which you create out of your research on the company and the position. It’s your “to do” list for exactly what you will do during your first 3 months of employment to learn your job, learn your customers, and build your market to increase sales.

For all these questions, the key is to listen, clarify, answer and then ask how they would answer that question. You can learn a lot-which will either impress them with your initiative and willingness to learn, or give you something you can use for your next interview.

Peggy McKee is the owner and chief recruiter for PHC Consulting, a recruiting firm providing top sales talent, sales management, marketing and service / support personnel to some of the most prominent high growth companies in the medical and laboratory products industry for over 9 years!

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Took the CRC and am wondering about a couple questions…

There were a couple questions that stick out in my mind that I didn’t know the answer to and I’m wondering if anyone here knows.
1. What was the last day you could report ICD-9 codes for risk adjustment purposes? I guessed it was 1/31/16, but I don’t know. Any thoughts?
2. What is the approved resource to update and clarify the use of ICD-10? It seems to easy to say CMS transmittal…although that was my answer. Options were also NCCI edits, AHA Coding Clinic (this was my 2nd guess) and Federal Register. I feel 75% confident it is CMS…but 25% thinks maybe it is AHA. ???

Thanks!

Medical Billing and Coding Forum

HPI & ROS Questions

1. This is a new patient HPI.

The pt is a 64-year old referred by Dr. A for further evaluation and opinion regarding gross hematuria. The pt was previously seen in our urology clinic here may years ago due to an elevated PSA. He was to follow-up for repeat PSA blood test, but has done this with Dr. A. Last PSA blood test in March was 2017 was equal to 2.02 and stable. The pt presents at this timeframe because of recent hematuria. He was recently started on a blood thinner after a knee scope procedure and developed atrial fibrillation and will have cardiac ablation in the near future, but did develop hematuria since starting the blood thinner. The pt is on Tamsulosin chronically and is on Tamsulosin for a few years and is relatively satisfied with his voiding symptoms. He has had no interval urinary tract infections or hx of stones.

How many do I have in the HPI?

2. This is also a new patient.

The pt was referred for evaluation for hematuria as appreciated on UA taken November 2. The pt was also worked up at the time for a C&S of the urine which did grow out E.coli.baceteria. The pt was subsequently treated. It should be noted that the pt was actually hospitalized during this timeframe and subsequently discharged from the hospital apparently on the 6th of November. It is noted that this pt is a resident of a skilled nursing facility. He is a poor historian, suffers from dementia.

ROS: The pt is not able to verablize any symptoms to me. He does not state that is experiencing any fevers or chills, chest pain, or SOB. There is a hx of hematuria, however, the pt has not experienced any hematuria at this time.

Since this patient has dementia and the Dr can not get a full HPI or ROS, does this still count has a complete HPI and ROS? Any advice would be greatly appreciated!! Thanks

Medical Billing and Coding Forum

Questions about MOON and CMS notification regulations

Ask the Expert

Questions about MOON and CMS notification regulations

Learning objective

At the completion of this educational activity, the learner will be able to:

  • Identify strategies to comply with the Medicare Outpatient Observation Notice (MOON) notification and understand rules related to navigating the skilled benefit for Medicare

 

One of the topics raising the most questions in case management today is related to the MOON notification requirement. Hospitals were struggling this summer to comply with the Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act, which was signed by President Barack Obama August 6, requiring hospitals to provide a verbal and written notice of outpatient status to any patient in observation who has been in the hospital for more than 24 hours. Just prior to the August 6 implementation date, hospitals received word that the notification requirement would be delayed pending approval of modifications made to the government’s notification form. (See related story on p. 1.)

But despite the delay, case managers still have questions about MOON, which were answered this month by Ronald Hirsch, MD, FACP, CHCQM, vice president of the Regulations and Education Group at Accretive Health in Chicago. Janet L. Blondo, MSW, LCSW-C, LICSW, CMAC, ACM, CCM, C-ASWCM, ACSW, manager of case management at Washington Adventist Hospital in Takoma Park, Maryland, and Peggy Rossi, BSN, MPA, CCM, a consulting associate for the Center for Case Management in Wellesley, Massachusetts, also tackled a Medicare notification question this month.

 

Q: What is the consequence if we miss giving a patient who meets the MOON criteria the notice? Has there been an update if the observation hours will need a modifier or the claim a value or condition code to show that the notice was given?

 

Hirsch: CMS has not stated the consequence of not issuing a MOON. CMS will be updating its survey tools in the future and may address it there. CMS stated in the IPPS final rule that, "all monitoring and enforcement of the MOON will be consistent with our oversight procedures for other hospital delivered notices."

 

Q: Now that CMS has released a new version of the MOON form, how should my organization proceed?

 

Hirsch: CMS released a new version of the MOON August 1, but it must go through the public comment period. After that time, it will be issued an Office of Management and Budget number and then there will be a 90-day implementation period. Until that time, hospitals should follow any state regulations for notices to outpatients and patients receiving observation services.

 

Q: I read your article on navigating the skilled benefit for Medicare and I have a few related questions. My understanding is that you can only use a Hospital-Issued Notice of Noncoverage (HINN) for inpatient, so you could use it if less than a three-day stay. We have been giving Advance Beneficiary Notices (ABN) for our traditional Medicare patients that are observation when families are not timely on getting a skilled nursing facility secured to those patients that require it. Is this correct?

 

Rossi: The HINNs have varied uses, and if a HINN is used it should be the HINN1, as this is a letter used to deny any admission?it is a preadmission denial and is issued when it is known the stay will not be covered. Another letter to use will be an ABN, as the ABN is a letter designed by CMS to deny outpatient services, when it is known they will not be covered.

 

Blondo: HINN1 is known as a preadmission/admission HINN and can be given prior to a hospital stay when it is expected that the entire stay will be denied for coverage. So if a patient was brought to the hospital ED for the purpose of SNF placement and the physician is writing an order to admit to inpatient, many hospitals have their ED case manager intervene by giving the patient and family the HINN1. The physician does not have to agree with the issuance of the denial notice. Seeing the denial notice often convinces the patient and family to choose another plan of care for the patient, and no admission takes place.

For patients placed in observation, ABNs are used for Medicare Part B outpatient services when it is believed Medicare will no longer pay for the services it normally would cover. Some common reasons one would issue an ABN include when services are not reasonable and necessary or when the care is custodial. So if the family hasn’t moved fast enough to take that available SNF bed and the patient’s care is considered custodial, it is correct to issue the ABN.

For more information, see Medicare Advance Beneficiary Notices, October 2015, Medicare Learning Network, Department of Health and Human Services, Centers for Medicare & Medicaid Services at: www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/abn_booklet_icn006266.pdf.

 

Got a question on any case management topic that you’d like to ask our experts? Email it to Kelly Bilodeau at [email protected].

HCPro.com – Case Management Monthly

CANPC Questions for AAPC El Paso TX Local Chapter Event 11182017

Vino C. Mody Jr., M.D., COC, CPC, CCS-P, CANPC, CCVTC, CICP, CNPR, CRMC
678-427-6511 cell; [email protected]; [email protected]; [email protected]; medpracticeprocess.com
CANPC Lecture Additional Questions Local Chapter Event El Paso, TX 11/18/2017,
Concentrating on plastic surgery, orthopedic surgery including the spine, and the respiratory system
ICD-10-CM coding can in addition be done as open coding.
Anesthesiology Anesthesia CPT CPT
2.69 A patient presents with palpable lump in left breast. The surgeon 00400 19301
dissects down to the mass and removes it entirely. The procedure is
described as "Biopsy of mass of left breast."
2.72 Debridement of skin, subcutaneous tissue, and muscle. A total 00300 11043
surface of 18 sq. cm was debrided down to and including removal of
subcutaneous tissue.
2.73 Excision of 3.5 cm solar keratosis of the cheek with no 00300 11443
significant margins
2.74 Excision of basal cell carcinoma, abdominal wall, 1.2 cm in 00400 11604
diameter, with 1-cm skin margin all around
2.75 Excision of skin and subcutaneous tissue from the right groin 00400 11462
for hidradenitis with layered closure
2.76 Insertion and injection of tissue expander, scalp 00300 11960
2.77 Repair of 7.9-cm laceration of the left hand, dorsum, with layered 00300 12044
Closure
2.78 Repair of 3.4-cm laceration of the left forearm, single-layer closure 00300 12032
with 4-0 Dexon; repair of 2.0-cm laceration of the left upper arm,
single-layer closure
2.79 Repair of 5.0-cm laceration of the scalp, 4.5-cm laceration of the 00300 12005
left foot, and 8.0-cm laceration of the left lower leg
2.80 Repair of 5.0-cm laceration of the left cheek, 3.2-cm laceration 00300 13132, 13101
of the forehead, and 16.0-cm complex laceration of the left chest wall, +13133, +13102 x 2
utilizing multilayered closure
2.81 Incision and drainage of complicated pilonidal cyst 00300 11772
2.83 Open excisional biopsy of breast lesion identified by preoperative 00400 19125
placement of radiology marker
2.85 Excision of two non-palpable suspicious area of possible 00400 19120, 19281-26
micro calcification identified on mammogram (needle identifying +19282-26
the site placed at an outside radiologist’s suite)
2.86 Excision of 6-cm squamous cell carcinoma from left chest with 00400 14001
repair of resultant 24-cm2 defect using V-Y plasty
2.87 Insertion of breast expander in post-mastectomy patient for 00402 19357
breast reconstruction
2.88 Debridement down to and including removal of muscle and 00300 11043+11046
subcutaneous system; total surface area is 22 sq. cm
2.89 Complex wound repair may require extensive undermining, 00300 13121
placement of stents, or retention sutures
2.91 Simple repair of a 3.0-cm laceration cheek with extensive removal 00300 12013
of gravel and debris.
2.94 Per the description of code 22513, fracture reduction and bone 01936 22513
biopsy; Percutaneous vertebral augmentation, including cavity creation
using mechanical, 1 vertebral body, thoracic
2.98 Keller bunionectomy 01480 28292
2.99 Diagnostic arthroscopy, left knee, with medial meniscectomy 01400 29881-51, 29870
2.100 Open reduction of knee dislocation with repair of the anterior 01400 27557
cruciate ligament by anchor suture
2.101 Percutaneous vertebroplasty, L4 01936 22511
2.102 Incision and drainage of infected shoulder bursa 01610 23031
2.103 Putti-Platt procedure, left shoulder 01630 23450
2.104 Open reduction, internal fixation humerus shaft fracture with cast 01744 24515, 29065
application
2.105 Wrist fusion with bone graft from iliac crest 01830 25810
2.106 Closed reduction of distal radial wrist fracture 01820 25605
2.107 Total hip arthroplasty 01214 27130
2.109 Anterior removal of artificial cervical disc 00600 22551
2.110 Open bone biopsy obtained from iliac crest 01758 20245
2.111 Application of short leg walking cast for severe sprain of ankle 01490 29405
2.112 Arthroscopy of shoulder with complete rotator cuff repair 01630 29827
2.113 Scar revision of a mid-femur amputation of leg 01402 27487
2.114 Closed reduction, temporomandibular joint dislocation 00190 21480
2.116 Hip arthroplasty to perform a femoroplasty 01202 29914
2.117 Open treatment of two lumbar vertebral fractures, posterior approach 00630 22325+22328
2.119 Cranial halo application with seven pins placed for thin skull osteology 00190 20661
2.120 Excision of a 2.3-cm soft tissue tumor of the hand 00400 26111
2.121 Incision and drainage of infected bursa of the left shoulder 01610 23031
2.122 Removal of 19 skin tags 00400 11200+11201
2.124 Submucous resection of nasal turbinates 00160 30999
2.125 Initial control of epistaxis, posterior, by packing of the posterior nares 00160 30905
2.126 Nasal sinus endoscopy with partial ethmoidectomy 00160 31254
2.127 Total laryngectomy with left radical neck dissection 00350 31365
2.128 Direct laryngoscopy with vocal cord stripping using the operating 00320 31571
microscope
2.129 Bronchoscopy with transbronchial lung biopsy 00520 31628
2.130 Thoracentesis with imaging guidance 00524 32555
2.131 Thoracoscopy of the pericardial sac with biopsy 00529 32604

Medical Billing and Coding Forum