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What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

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Laureen shows you her proprietary “Bubbling and Highlighting Technique”

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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

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

93793 regulations

Is it a requirement to use the 93793 CPT for Coumadin management? Our practice uses 99212 with 85610-QW.

The patients usually have AFIB or DVT, and are there strictly for this test. It is performed, interpreted, and dosage adjusted as needed.

I’m a new coder, and trying to learn how to navigate Novitas for answers…I’ve come up with nothing though.

Thank you for any help.

Medical Billing and Coding Forum

NOC or unlisted CPT/HCPCS codes and units – Medicare Regulations

Hi Team,

The physician is has given units for HCPCS code J3490 since he injections at two different anatomical sites. But the insurance has denied units applied with J3490. Please confirm if any Medicare regulation sites or reference saying units are not accepted for unlisted or NOC CPT/HCPCS codes. TIA

Thanks,
SG

Medical Billing and Coding Forum

New Regulations Encourage Health Insurance Marketplaces

The Centers for Medicare & Medicaid Services (CMS) put on display April 9 a rule that finalizes several proposed changes that will significantly expand the role of states in the administration of the Patient Protection and Affordable Care Act (PPACA), with the intention to reduce regulatory burden and increase flexibility. Background of the PPACA President Obama […]
AAPC Knowledge Center

Advice on rulees and regulations

Hi everyone,
I have been asked to help with the take over of the coding/billing for a private owned addiction medicine clinic. Here’s the problem… The crew that was in charge of this prior had originally told the front desk to collect patient copays for commercial insurance patients as they were not credentialed yet. So, just last week they came and told the front desk lady that they were not going to credential to charge $ 275 cash for all commercial insurance patients. Is this legal? because I’m having a problem with that, it just seems so sketchy to me. If anyone could help guide me I would be greatly appreciative. I just want to have my facts before I present anything to the doctor about how things should be done going forward.

Medical Billing and Coding Forum

BSI Holds Important Series on Medical Device Regulations in Asia

Focus on Asia Series Highlights Prime Areas of Growth BSI announces its series of seminars on regulatory requirements in Asia for medical device companies are to be held in:

•   Austin, TX – October 15, 2010 from 10:00 a.m. – 4:00 p.m.

•   Princeton, NJ – October 19, 2010 from 10:00 a.m. – 4:00 p.m.

•   Atlanta, GA – October 21, 2010 from 10:00 a.m. – 4:00 p.m.

•   Chicago, IL – October 22, 2010 from 10:00 a.m. – 4:00 p.m.

 

Geared toward commercial and regulatory staff who need to navigate the various regulatory landscapes across Asia, these seminars will help facilitate US companies expand their medical device exports.

 

Jack Wong, BSI’s Vice President for Regulatory Affairs in Asia will lead this discussion and cover the recent regulation changes in China, India, South Korea, Hong Kong, Malaysia, Thailand, Taiwan, and Japan. As the Vice-Chairman of the Regulatory Training Working Group within the Asian Harmonization Working Party, Mr. Wong will also speak to various efforts to harmonize regulatory requirements.

 

Asia is a prime market for growth for medical device companies.  To ensure efficient product launch and regulatory conformance, companies must comply with an evolving and often confusing regulatory environment. BSI’s Focus on Asia series will provide an overview of developing trends and projects that may influence future regulations.  Companies that can realize rapid registration and regulatory approval in Asia will gain a significant competitive advantage.

 

To register for these events: www.bsiamerica.com/asiatraining

 

About BSI Group

BSI Group is a global independent business services organization that inspires confidence and delivers assurance to over 80,000 customers with standards-based solutions. Originating as the world’s first national standards body, BSI has over 2,500 staff operating in over 140 countries through more than 50 global offices. BSI’s key offerings are:

•   The development and sale of private, national and international standards and supporting information that promote and share best practice

•   Second and third-party management systems assessment and certification in all critical areas of management disciplines

•   Testing and certification of services and products for Kitemark® and CE marking to UK, European and international standards. BSI is a Notified Body for 15 New Approach EU Directives.

•   Certification of high-risk, complex medical devices

•   Performance management software solutions

•   Supply chain security solutions which identify and mitigate risks in supply chains

•   Training services in support of standards implementation and business best practice.

 

BSI Group America Inc. is the Americas’ division of BSI and the direct website is www.bsiamerica.com.

 

 

BSI, America

www.bsiamerica.com

Shereen Abuzobaa
Vice President Marketing
[email protected]

1800-862-4977

 

Professional Marketing Firm for the Manufacturing Community.  Manufacturing Journalist or Contributing Journalist for many manufacturing magazines and journals.  Founder of the Media Consortium and media blitz.

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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

Henan New Medical Examination Of Female Patients With Male Physicians Regulations Require Nurses To

The future, Henan Province, all medical staff working in hospitals, the woman must not wear jewelry, men can not stay long hair.

7 days Henan Provincial Health Department issued a “Code of Practice for standardized medical personnel in Henan Province (Trial)” (the “Code”), after the medical staff of the should not , there will be measuring the “ruler” of the.

“Code” sub-Chapter 3, that code of ethics, codes of practice, professional codes of practice, a total of 177. Among the most detailed code of practice, divided into physicians, nurses, medical technicians 3 categories standard codes of practice covering 16 important positions.

Disable the “I do not care these things,” such as language

The use of the code of conduct do not know, do not know, no, not my responsibility, I do not care this matter, I can not other languages, the male medical staff can not be a beard, long hair and wearing sunglasses, not wearing vests, shorts, slippers, pajamas, no makeup, female medical personnel, not to stay long nails and painting nails, do not wear jewelry, long hair should be set from the shoulder, dress bogey thin, dew, through.

Medical staff speak Mandarin at work best for patients to use civilized language, for patients before and after inspection, to regulate wash hands warm in winter after the first inspection.

Examination of female patients with male doctors need nurses to accompany

“Code” provides that one person, one performed by a physician-patient appointment system (a clinic, a physician, a patient), next to be accompanied by one family.

Male doctors for female patients with out-patient examination, to protect privacy, the need for nurses or family members to accompany patients. Prescribing, or checklist, the need to state clearly the reasons and the need for patients and fully informed of drug use, dosage and check attention, patients are not informed of the situation to take it clear to the family. Implementation of outpatient medical test items

, medical imaging, and pathology results of the mutual recognition system (through the Deputy Chief Physician and above confirmed that the check be re-done, except), to avoid unreasonable duplication of inspection.

Ward physician admissions within 30 minutes

Ward physician within 30 minutes after admission of patients to admissions, emergency admissions of patients immediately. The first patient communication to patients and their families in the supporting test results, initial diagnosis, the next step treatment plan, and preliminary estimates of the possible costs of hospitalization. Listen to patients and their families on post-treatment process and patient views and suggestions, respect for patients and their families the right to choose.

Guiding patients registered nurses should help patients

Lead out-patient clinic nurses should take the initiative to visit the hall, timely guidance to help patients registered, waiting, inspection, obtaining medicine, etc., take the initiative to help the old, weak, disabled patients into the consulting room, accompanied by inspection, difficulty walking, providing wheelchair services .

“Code” when, “scale” to improve service levels

It Henan Provincial Health Bureau of Medical Affairs Director of Tianchang Jun introduction, three years, inspectors across the province carried out extensive activities found in hospital management, medical institutions need to be improved level of service, service process less reasonable, awareness of medical personnel to practice law Strong, clinics and operating non-standard, large opinions of the masses. Therefore, beginning in 2005, the provincial health department is constantly practice and continuous improvement based on the development of this Code.

I am a professional writer from China Computer Parts, which contains a great deal of information about sandwich maker grill ,

Be the First to Learn of New Medicare Regulations

Tired of always being the last one to know when the Centers for Medicare & Medicaid Services (CMS) has issued a final rule or transmittal with new coding/billing guidance? Be the first to learn of new Medicare regulations and become a valuable resource for your providers. Simply go to www.cms.gov and scroll toward the bottom of […]
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