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”

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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

2022 OPPS/ASC Final Rule Finalizes 2% Boost in Payment Rates

CMS dramatically increases financial penalties for noncompliance with hospital price transparency rules. On Nov. 2, 2021, the Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2022 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System final rule, finalizing payment rates and policy changes affecting Medicare services furnished […]

The post 2022 OPPS/ASC Final Rule Finalizes 2% Boost in Payment Rates appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Audits, education, and collaboration are key to reducing query rates

Collaboration between the CDI team and the coders was key to ensuring accuracy and success with audits in 2014 as well as this year. "As we were learning ICD-10-PCS, we developed regular standing meetings and committees to join forces to be better prepared for ICD-10-PCS implementation," says Cheree A. Lueck, BSN, RN, who adds that the two groups have continued to work as a team via regular meetings, training courses, and procedure coding exercises by way of conference calls every other month.

This article was originally published in Briefings on Coding Compliance Strategies. Subscribers can access the full article in the January 2016 issue.

HCPro.com – HIM-HIPAA Insider

CMS Identifies E/M Codes With High Error Rates

Coding initial hospital care became more challenging after Medicare stopped paying for inpatient consult codes several years ago — but that can’t be the only factor driving the startling error rates for evaluation and management (E/M) codes 99223 and 99214. In the report “2019 Medicare Fee-for-Service Supplemental Improper Payment Data,” the Centers for Medicare & […]

The post CMS Identifies E/M Codes With High Error Rates appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

2 Billing entities for same practice billing different rates

This is a new situation for me-
The group I work for is transitioning from their current outsourced biller to billing inhouse. The transition is taking place in phases so as I start billing claims for them, do we need to be billing the same dollar amount as the current biller? For ex, say we both send out a claim today with 11042 on it and she bills $ 500, do I also need to bill $ 500? Reason I’m asking because we want to increase our fee schedule for 2019.

Thanks in advance

Medical Billing and Coding Forum

Rates Change for Incomplete Colonoscopies in Critical Access Hospitals

Remember back in 2015 when CPT® changed the definition of an incomplete colonoscopy from one that does not evaluate the colon past the splenic flexure to one that does not evaluate the entire colon? The Centers for Medicare & Medicaid Services (CMS) is responding to that change, albeit rather lethargically. CPT® 2015 stated (and continues to […]

The post Rates Change for Incomplete Colonoscopies in Critical Access Hospitals appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Different Self Pay Rates

Hi guys!

So it seems my boss is in the business of offering a different self pay rate to patient’s that have transferred over from his old practice. We are a physical therapy office, and our rate at our practice is about about 45 bucks more for each visit than at his old practice. He is giving the old practice rate to transferring patients (so a discount of 45 bucks each appt) – this has to be illegal, correct? What can I cite to him to get him to stop giving these patients discounts?

And just to be clear, he can treat them for free, correct? Just not give them a discount? Any help is appreciated!

Medical Billing and Coding Forum