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 right corner of this page

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

Recoupment questions

Good evening everyone,

I live in California and work as a Claims Analyst. I have been disputing an invalid recoupment for one patient and was completely shocked to find that they took the money from a different patient’s claim payment. My co worker emailed me the EOB showing what happened and was asked to write an appeal. I am told that this is not legal, but would like to verify this before I respond. I have found information showing that they can take from future reimbursement of the same patient but, not nothing showing that they can take from reimbursements of a completely different patient. I have not written a letter like this before and need assistance on finding California Statutes that can be used for this situation and others. Any assistance would greatly be appreciated.

Thank you,

Corine

Medical Billing and Coding Forum

Can someone please help me with these coding questions

I am practicing some coding questions before my exam and would like some help with an ICD-10 CM question and CPT questions. From what I remember, if there is a definitive diagnosis there is no need to code signs and symptoms, but in some questions, the answer includes signs and symptoms even though there is a diagnosis.

I am confused as to why fever is coded in this question, can someone please explain?

Patient with thyroid cancer has fever and found to have chemo drug induced agranulocyctosis

D72.0: Genetic anomalies of leukocytes
D70.1: Agranulocytosis secondary to cancer chemotherapy
C73: Malignant neoplasm of thyroid gland
R50.81: Fever presenting with conditions classified elsewhere
J34.81 Nasal mucositis (ulcerative
K92. 81: Gastrointestinal mucositis (ulcerative)
T36.91XA: Poisoning by unspecified systemic antibiotic, accidental (unintentional), initial encounter
T45.1X1A: Poisoning by antineoplastic and immunosuppressive drugs, accidental (unintentional), initial encounter

a) D72.0, T36.91XA, C73, R50.81
b) D70.1, T45.1X1A, C73
c) R50.81, J43. 81, K92.81
d)D70.1, T45.1X5A, C73, R50.81

Can someone please explain how to get these codes for this example?

Case 1 – Right transfemoral approach with the right vertebral, right common carotid artery, left common carotid artery, left vertebral arteries selected with normal arch anatomy.

Catheter codes: 36217, 36218, 36215-59, 36216-59

A 40-year old hospitalized patient is in need of a kidney transplant and is next on the transplant list. A man who matches the patient’s tissue type and is an organ donor, is involved in an MVA and is pronounced brain dead upon arrival to the hospital. A nephrectomy is performed on the individual from the mVA. what is the correct code for the nephrectomy?

a) 50300
b) 50320
c) 50220
d) 50234

Why is the answer b?

Thanks so much for your help!

Medical Billing and Coding Forum

New to Anesthesia have a couple questions

Question 1) I found a few articles that say P1 to P5 modifiers are not recognized by Medicare. Is this true? is there a CMS article to back this up?

Question 2) This practice is doing Anesthesia billing for Gastro only, when a patient comes in for a colonoscopy or EGD is it necessary to code all non procedure related dx codes for example: Diabetes, Hypertension, Obesity

I don’t think these should be added as they have nothing to do with the procedure performed.

Medical Billing and Coding Forum

substance abuse assessment and type of bill questions for detox and residential

Please help

I am new to the substance abuse field and have a few things I wanted to run by anyone who is willing to help. I switched over from cardiology, integ, and podiatry and am now billing for a detox facility, residential and php facility. I was curious if you could help me with two things.

First where can i find the type of bill code for box 4 required for bc claims? I have been searching all over their website and can’t find anything. I read one thread that said to use 11X but i’m not sure if that’s correct or if it would be 86X since we are not a hospital?

The other question I have is the previous billing company was billing intake assessments with the code H0001 and H0002 and they are all denied from all the insurance companies or reimbursing at a really low rate. Would I be able to use an e/m code such as 99408 or 99409? or is there a better code for an initial assessment and also a discharge assesment?

I would really appreciate the help.
Thank you
Sarah CPC
you can respond on here or feel free to email me at [email protected]

Medical Billing and Coding Forum

HIPAA Q&A: You’ve got questions. We’ve got answers!

Submit your HIPAA questions to Associate Editor Nicole Votta at [email protected] and we will work with our experts to provide you with the information you need.

Q: My office manager at an outpatient practice revealed to two employees that I’m a recovering alcoholic. I’m a midlevel practitioner and a patient of one of the physicians in the practice. Is this a HIPAA violation?

A: It may be a HIPAA violation because you are a patient of the practice. If the office manager accessed your medical record or learned of your condition during a conversation with your physician, it would be a violation of the HIPAA Privacy Rule. On the other hand, if the office manager disclosed information about your medical condition and it did not relate to treatment at the clinic (say, the information came from a job interview with you or was documented in your personnel file), it would not be a HIPAA violation because the information was available to your office manager acting as the employer. It may still be a violation of state law or other federal law, but it would not be a HIPAA violation.

Editor’s note: Chris Apgar, CISSP, president of Apgar and Associates in Portland, Oregon, answered this question for HCPro’s Briefings on HIPAA newsletter. This information does not constitute legal advice. Consult legal counsel for answers to specific privacy and security questions.

HCPro.com – HIM-HIPAA Insider

practice questions

Hello coders
I am CPC_A ,,planning to give some exam..
Do anyone have e/m questions,,please let me know as I want to practice some questions.I wanna learn how coding questions are in real world.
As CPC-A getting a job is a big challenge but I dont want to lose hope.
It would be great if anyone can share some questions.
My email address is [email protected]
Thank you

Medical Billing and Coding Forum

Critical Care Coding Questions

Physician A bills a critical care code.
Physician B bills an E/M hospital initial or subsequent code for the same patient and the same day. Is this billable by both MD’s?

It is understood that rounding in the CC unit and billing a subsequent hospital care code is feasible as long as it in not related to an operative procedure (non-global care)but can 2 physicians from the same group bill on the same day for the separate services?

Medical Billing and Coding Forum