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

Tag Archives: Required

Bank Statements are Always Required

Posted on by

We encourage you to be compliant with financial requirements by uploading your monthly bank statements each time you receive them. Even if your chapter does not have any activity in a month, the bank statement should still be uploaded. 75 chapters have not been sent their 2nd quarter reimbursement because this requirement was not met. […]

The post Bank Statements are Always Required appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

New CLIA Waived Tests – Modifier QW not Required List effective from October 1, 2019

Posted on by

CR 11354 informs MACs of new Clinical Laboratory Improvement Amendments of 1988 (CLIA) waived tests approved by the Food and Drug Administration (FDA). Since these tests are marketed immediately after approval, the Centers for Medicare & Medicaid Services (CMS) must notify the MACs of the new tests so that they can accurately process claims. Make sure your billing staffs are aware of these CLIA-related changes.

CR 11354 presents the latest tests approved by the FDA as waived tests under CLIA. 
The Current Procedural Terminology (CPT) codes for these new tests must have the modifier “QW” to be recognized as a waived test. 

The tests mentioned on the first page of the list attached to CR 11354,do not require a “QW” modifier to be recognized as a waived test. The CPT codes are,

81002 URINALYSIS NONAUTO W/O SCOPE
81025 URINE PREGNANCY TEST
82270 OCCULT BLOOD FECES
82272 OCCULT BLD FECES 1-3 TESTS
82962 GLUCOSE BLOOD TEST
83026 HEMOGLOBIN COPPER SULFATE
84830 OVULATION TESTS
85013 SPUN MICROHEMATOCRIT
85651 RBC SED RATE NONAUTOMATED

The CPT code, effective date, and description for the latest tests approved by the FDA as waived tests under CLIA include,

80305QW, December 13, 2018, Shenzhen Bioeasy Biotechnology Co., Ltd, BIOEASY Multi-Drug Test Cup
80305QW, April 18, 2019, Mercedes Scientific Inc., Platinum+ Multi-Drug Urine Test Cup
80305QW, April 18, 2019, Mercedes Scientific Inc., Platinum+ Multi-Drug Urine Test Dip Card
87880QW, May 9, 2019, McKesson Consult Strep A Test Cassette
87502QW, May 28, 2019, Alere ID NOW Instrument {Nasal and Nasopharyngeal swabs}, for Influenza A/B
87634QW, May 29, 2019, Alere ID NOW Instrument {Nasopharyngeal swabs}, for respiratory syncytial virus


Source: New Waived Tests


Coding Ahead

Officer Training is Required

Posted on by

Yes, officer training is required, even if you’ve served recently or in the past. There are always changes, some significant and some subtle, but it is important to participate anyway. The good news is that training is virtual so there’s no travel required, and you’ll receive 2.0 CEUs for participating. And there are six sessions […]

The post Officer Training is Required appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Required Physician EXAM for future billable events?

Posted on by
Hello, I’d like some input from the E/M experts. Our coders were given a directive that if the Physician does not perform a Physical exam on the Initial consultation OR any other established face to face visit such as a ‘weekly status check’ during course of treatment, then any and all follow up EM services (incident to) or otherwise are not billable.

We have physicians who may not perform an initial exam, therefore, not meeting 3 out of 3 required elements (HEM) and we don’t bill for the EM. Then the patient returns for follow up to discuss treatment, review tests, start treatment, etc. and if the physician meets the 2 out of 3 requirements, with still NO exam, we were told, we cannot bill the established patient visit until the physicican performs an exam.

I belive this is incorrect, and I’d like some feedback.

Thanks!

Medical Billing and Coding Forum

Where can I find what is required to be in a procedure note?

Posted on by
Does anyone know where I can find out what needs to be in a specific procedure note? i.e: Laceration Repair note, Reduction, etc. We have providers stating the information is in the documentation but it isn’t always complete. I was hoping there was something that spelled out what information needs to be included so we can give them exact feedback on what is missing.

Thank you in advance.

Medical Billing and Coding Forum

Op Report Required Elements

Posted on by
Hello there!
Finally have time to get a little more in depth with the quality of all of our documentation. I am curious if anyone has any good resources to confirm CMS requirements for the components of an op report, specifically for colonoscopies. At this time we are watching out for the obvious (sedation, consent) as well as withdrawal time, scope used, bowel preparation score (typically boston). I’m wondering if there is anything we are missing along the way. I am also wondering if it is required to give an actual number for the bowel preparation score or if saying that the bowel prep was "adequate" or something along those lines is enough? We have one or two providers who tend to leave off scores and give an impression instead. Any advice is appreciated :)

Medical Billing and Coding Forum

SAMHSA: Patient consent now required for substance abuse records

Posted on by

 Appropriate sharing of records for patients with substance abuse disorders should be easier under a second final rule issued January 3 by HHS and its Substance Abuse and Mental Health Services Administration (SAMHSA). But in some cases, the new rule adds considerations that might mitigate the advantage.

HCPro.com – Briefings on Accreditation and Quality