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

Why Do Doctors Run Behind? Reflections of a Medical Secretary

It’s no wonder why doctors run behind. From my 13 years of secretarial experience I have seen it all, both the doctors and the patients point of view. First, doctors are overbooked with trying to accommodate patients needs, wants, and sometimes demands. It sometimes cracks me up when patients call the office and ask to speak with the doctor, like he’s just sitting in his office waiting for a phone call. Sometimes patients call in and ask to speak with the doctor, but will not tell me what about!!!

Love that one!!! Like I haven’t heard it all, but it’s part of the job, so we explain to the patient that an appointment is required for professional medical advice. Another reason why doctors fall behind is because patients who are scheduled for one medical concern end up talking to the doctor about several medical concerns.

For example, a patient may be scheduled to come in for a lump on their arm and the doctor examines the lump and prescribes the proper treatment. But as the doctor puts his hand on the door to leave, the patient also expresses that they have been having some discomfort in their chest area for the past two days! SURPRISE!!!

As a physician, the doctor cannot morally leave the room and just ignore what the patient has said. He  then proceeds in making sure that the patients health is secure enough to leave the building. But in doing so, time is taken away from the doctor, the other patients, and the nurse who has a stack of charts complete with phone messages, prescription refills and specialist referrals, all to be done in an eight hour shift!

Think what you like, but this happens daily. . .several times!

There are also the normal occurrences that cannot be ignored, like walk-in emergencies. This happens more frequently then people realize. As a secretary, it can at times be difficult to accurately block off the time allotted for patient appointments and to be precise about the length.

Being a patient myself, however, I also realize the agony of sitting in a waiting room, sometimes with crying babies, and in the company of other patients, it can be quite scary. And once you’re finally called back to the exam room, you often find yourself sitting in isolation for a long period of time,waiting, until ironically

IT’S YOUR TURN!!! You’ve had a sore throat that’s been so bothersome that you need a diagnosis and treatment.

You are examined and treated, but wait, you forgot to mention that stomach pain that’s been troubling you for a week…and…and…and!!! Not to mention that your pharmacist informs you that the prescription is not covered by your insurance company and around we go again!

Phone calls, forms that need to be completed in order to convince your insurance company that your doctor knows what he is doing…etc, etc, etc

So why can’t I speak with the doctor? Why is he so far behind?

Rich Niemeyer is an avid researcher of anxiety attacks and panic disorders. He believes in a natural course of action and works for an independent family practice in Leola PA. Visit his website at http://leolafamilyhealth.com for more information on Lancaster Family Practice

Reflections of a Coder Coach: Ready to Get Back to Normal

A few weeks ago, it occurred to me that my job hasn’t been “normal” for the last six years.  Right around this time six years ago is when I first went to AHIMA’s ICD-10 Academy and earned my status as a trainer.  Creating and presenting ICD-10 training materials came soon after that and it wasn’t until recently I realized that my job hasn’t been normal for the last six years.  And since I’ve only known my husband for four years, one could argue that he’s never known me when I’m normal… er.. at least when my job is normal!

As I look around the articles and social media related to coding, a lot has changed in this industry in the six or seven years that I’ve put myself out there as the Coder Coach.  When I first started blogging and meeting once a month with coding students and wanna-be’s, there weren’t a lot of people out there looking to mentor coders.  Now, my voice is one of many as people who never heard of coding before ICD-10 jump on the bandwagon to get a piece of the action.  There have been questions about certifications – which ones to get and how to make sure ICD-10 certification requirements are met.  There have been questions about how to code things we never had to think about before – initial vs. subsequent encounters for injuries and poisonings and root operations based on procedure intent.

I have to be honest and say that in my abnormal day-to-day life as a coder over the last few years, I’ve had trouble finding my voice and giving advice as a coding mentor.  I no longer feel qualified to tell a coder how to break into the industry because things are so different than they were 20 years ago when I got my start and coding is something that many people are now aware of – not something that people kind of fall into anymore.  Since I fill my days adding to my own intellectual bank by researching procedures and learning how to explain them – and how to code them – I wonder what it is that new coders need right now.  And for everyone who is trying to learn coding, I just want to reach out and give them all a virtual hug because this is, in my humble opinion, about the hardest time to learn this industry.

This week I am working on something I haven’t done in years.  I’m reading the Final Rule for the 2016 MS-DRG changes.  That is something I used to read and summarize every year for my clients.  And even though the codes are different and there are some new sections to read in this super long file, I had a moment of realization, a sigh of relief if you will, that this… this is normal!  After we flip the switch on October 1 and everyone starts using ICD-10 (because I have pretty much zero faith in our congressmen to accomplish any earth shattering legislation in two weeks when they’re so focused on Donald Trump’s run for president), I’m sure there will be a few things that don’t go as planned.  But for coders, it’s a time for us to return to “normal.”  I miss having a general confidence in assigning codes (although this has gotten better as I train more coders!).  I miss code updates!  Oh, how I miss those code updates!  We’ve had frozen ICD code sets for four years!  I’ve been following the recommendations made to the Coordination and Maintenance Committee and I can’t wait to see which changes they decide to adopt on October 1, 2016.

And maybe when the dust settles a bit and we see how many people really want to stick with coding in ICD-10, I will find my voice again as the Coder Coach.  I sincerely hope so, because I miss meeting people with a passion to learn about my passion and giving them little nuggets of wisdom to help them make a difference in this industry.

Coder Coach