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

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

Doctor’s Practice to Pay Nearly $180K to Resolve False Claims Act Liability Regarding “P-Stim” Devices

First Assistant U.S. Lawyer Jennifer Arbittier Williams proclaimed that Richard P. Frey, D.O., and Physicians Alliance Ltd. (“PAL”) have agreed to pay nearly $ 180,000 to resolve liability underneath the False Claims Act for the alleged improper charge of “P-Stim” devices. From may 2013 through June 2014, Frey and PAL billed Medicare for the implantation of neurostimulator electrodes, a surgical operation generally necessitating an OR for which Medicare reimburses thousands of dollars. Frey didn’t conduct surgery, however. Instead, he applied a “P-Stim” device in a workplace setting while not using surgery methods or general anaesthesia.

Click Here To Read The Full Story!

The post Doctor’s Practice to Pay Nearly $ 180K to Resolve False Claims Act Liability Regarding “P-Stim” Devices appeared first on The Coding Network.

The Coding Network

How would you code this regarding MDM?

Looking for help regarding this visit and the appropriate E/M level regarding MDM.

Visit has a detailed history and expanded pf exam, and I am thinking a Moderate MDM for a 99214.
My questions are regarding the three elements of MDM.

This is the Impression and Plan Summary:
PAIN IN RIGHT ARM – New.
Orders: US: extremity – right – non vascular.

BICEPS TENDON RUPTURE – New. Ultrasound reveals bicep tendon tear Ortho referral made. May use ibuprofen 800mg PO TID otc prn pain. Medication education provided including possible side effects.

Here are my questions:
1) would the pain in right arm dx count as a moderate level in the table of risk as an Undiagnosed new problem with uncertain prognosis? (Also my boss had mentioned that 2 new problems equal Moderate Risk but I can’t find documentation for that)
2) Does the provider get 2 data points? One point for ordering the US for the pain in arm, and one point for reviewing the US for the bicep tendon tear?

I would appreciate any input regarding this to further my knowledge and understanding regarding MDM and this type of scenario.
TIA
KM

Medical Billing and Coding Forum

Advice regarding deductibles

Hello…

I’m a new biller and the physician I work for (Primary Care) is throwing around the idea of collecting deductible amounts up front, at the end of the visit when the patient is checking out. This seems like a daunting task. Not only do we not know the amount that would be applied to patient’s deductible beforehand, we would also have to identify the patient’s that actually have deductibles. He’s thinking about this now because of the deductibles starting over in January and wanting to save time and effort (and money) chasing deductible amounts.

I would love some feedback from other offices that have a good workflow for this situation….how do you all handle deductibles?

Thanks so much for taking the time to offer your advice. It’s much appreciated!!

Medical Billing and Coding Forum

I have a question regarding EMG billing

My facility has an electromyographer (EMG tech) come to our office twice a week to perform EMGs. We have been billing the EMGs under the referring doctor. Most of the time that referring doctor is in the buildling at the time that the EMG is performed and this is billed as incident-to. However, sometimes the doctor is not in the office at the time of the EMG. My question is, can we still bill under the referring doctor if he is out of the building or do we have to bill under a doctor who is in the office on that day?

Thank you 😮

Medical Billing and Coding Forum

Help! regarding excision of glomus tumor

Doctor wants to perform a "transcanal excision of glomus tumor – postauricular approach"

I see that CPT 69550 would describe the procedure except for the postauricular approach part. Doctor is adamant to bill a CPT for the postauricular approach but I have had no luck finding anything appropriate.

Any coders out there that could help??

TIA
KAM

Medical Billing and Coding Forum

Diagnosis Coding regarding Inpatient Admissions

Hello

This question is geared for coders process inpatient admissions diagnosis codes. If the hospitalist or attending physician list 4 or 5 diagnosis codes for the patient for the day of treatment with a sub hospital visit. Unspecified dx. codes can be used in the inpatient setting per the regulations. Is not the medical coder to list all of them on the claim in the proper sequence? I know DRG and POA are related together for the reason the patient arrives and got treatment thru the ER or for their inpatient status. Also I know patients treated by the medical specialist may use their dx code related to the care of of the patient in regards to their his or her professional medical specialty.

Thank you in advance

Lady T

Medical Billing and Coding Forum

Reimbursement issue regarding 26145 and exceeding the MEU of 6 by 3 units

Hello,

Reimbursement issue regarding 26145 and exceeding the MEU of 6 by 3 units.

Scenario:

Provider bills 26145 x 9, exceeding the MUEs by 3 and states in the Op report that a "copious amount of hypertrophic tenosynovium was noted on the nine flexor tendons in the palm and a careful and sharp tenosynovectmoy of the nine tendons in the palm was then performed," would this statement satisfy MAI 3 requirement?

If so, why?

if not, why not?

if I could get a link to support either decision, this would be extremely helpful.

Thank you!

Medical Billing and Coding Forum

Looking for a mentor regarding real world coding – Dallas Texas

Hello all,

I have been in billing for seven years and decided to study for coding and passed my CPC exam back in December of last year. My current employer is not willing to do any on the job or even allow me to shadow the few coders that are available. I am trying to find new employment as a CPC but no company is willing to train and expects two years experience minimum. Though I have assisted with coding reviews for appealing claims, I have yet to personally code any cases. If anyone can help my email is [email protected]

Thanks

Medical Billing and Coding Forum

Regarding glucose monitoring in home care

Dear AAPC members,
Greetings!
I have a doubt regarding the following service:
Home care nurses doing glucose reagent strip for patient on home during their home nursing services. We have a doubt that 82948 is billable code for this service or not?. Because we have other home care code i.e., 99600-Unlisted home nursing service procedure code.

Medical Billing and Coding Forum