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

Biopsy Coding Requires an Eye for Detail

Does your provider’s documentation contain all the information you need for correct coding? Unless the provider is descriptive in their documentation, it can be difficult to code biopsies for several reasons. For example, there are circumstances when you can report a biopsy with a more extensive procedure performed at the same surgical site, when you […]

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AAPC Knowledge Center

Three Year Rule Requires Face-to-Face Service

When selecting among E/M codes with “new” and “established” patient categories, most coders know to follow the so-called three year rule. If the provider has seen the patient in the past 36 months, the patient is established. It’s important to stress that the provider must have seen the patient. The Centers for Medicare & Medicaid […]
AAPC Knowledge Center

MACRA Requires CMS (and You) to Replace SSN with MBI

By now, you probably know MACRA is an acronym for the Medicare Access and CHIP Reauthorization Act of 2015 — legislation that brought about physician payment reform and inspired the Centers for Medicare & Medicaid Services’ (CMS’) Quality Payment Program. And most Americans know that SSN is an abbreviation for Social Security Number — that […]
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