Click here for more sample CPC practice exam questions with Full Rationale Answers

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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

Practice Exam

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

Who is ultimately responsible for Correct Coding

I attended a seminar a couple of years ago; where the speaker cautioned us on changes to definitions in the laws. They specified; these changes allow the OIG to look at BOTH an organization AND the coders involved for fraudulent claims. I have unfortunately misplaced the notes for this. The speaker cautioned us specifically that Correspondence telling coders to code a certain way from a manager or Client; no longer protected them from liability; that we are INDIVIDUALLY responsible for coding despite any direction given. I am looking for something that says this in black and white; can anyone point me in the right direction.

I have been looking today; I am finding lots of cases with individuals sited; but nothing where the individual can prove they were told to act in that manner; and maybe that in itself is the answer; I don’t know.

Medical Billing and Coding Forum

Have coders typically been responsible for implementation of MU/PQRS/MIPS?

Hello all,

I am curious if in the other physician practices out there, who typically is responsible for the implementation and participation of Meaningful Use, PQRS and now MIPS? Our practice has been participating in these programs (including eRx) since 2011. At the beginning way back in 2010 the office manager we had decided that I would be responsible for all things PQRS which made sense since we were reporting via Claims. She would take on Meaningful Use. About 6 months later she began handing over the Meaningful Use to me ("since it was really more about coding") and then she left the practice. I just attested for the 6th year for MU. I was told before our new administrator joined the group that this would be one of their responsibilities – sure I would be involved but she was going to take over. I am the only coder in our group of 4 providers, a mid-level and 2 techs, so needless to say I have my hands full.
Now that we have begun our transition to MIPS it has become quite evident that this will continue to be my responsibility. I am curious because I am coming up on my yearly evaluation and was told last year that I had "topped out" at the salary for a coder in our area and would not be eligible for a raise this year.
I really feel like I am much more than a coder – something to which I’m certain any coder in a small physician practice can relate. I believe my job title would more accurately be described as Coder/Biller/MIPS/Receptionist/Financial Counselor/Operations Manager/New Hire Trainer.

Has anyone out there been through a similar experience? I am curious if this is the norm at most physician practices?

Thanks!

Medical Billing and Coding Forum