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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

Preventive and Sick same day

Hello,

Wondering if we could get some guidance on billing Preventive and sick visits same day? CPT states that if an abnormality or a pre-exsisting problem is addressed and the problem is significant enough to require additional work, we are able to bill the E/M with a 25 modifier. If the patient comes in with 3 chronic problems, we know that just refilling prescriptions does not qualify but we were wondering if ordering labs to monitor chronics would? Ex: hyperlipidemia is stable on the medication but ordered a lipid panel for next year.

Thanks
Steph

Medical Billing and Coding Forum

Preventive and sick same day

Hello,

Wondering if we could get some guidance on billing Preventive and sick visits same day? CPT states that if an abnormality or a pre-exsisting problem is addressed and the problem is significant enough to require additional work, we are able to bill the E/M with a 25 modifier. If the patient comes in with 3 chronic problems, we know that just refilling prescriptions does not qualify but we were wondering if ordering labs to monitor chronics would? Ex: hyperlipidemia is stable on the medication but ordered a lipid panel for next year.

Thanks
Steph

Medical Billing and Coding Forum

Superintendent Commits Fraud when Helping Sick, Uninsured Student

School faculty often does whatever it takes to help out a student to ensure they thrive in their educational environment. And then, there is Casey Smitherman, the superintendent of Elwood Community Schools in Indiana, who took nurturing to an extreme when she committed fraud to treat a student with strep throat. Smitherman was booked on […]

The post Superintendent Commits Fraud when Helping Sick, Uninsured Student appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Z00.00, Z00.01, Z00.419 when billed with sick OV

Hi, everyone!

I’m seeing a lot of claims where my providers are seeing patients for a CPE or a Well Woman Annual exam, and they’re using 99201-99215 along with Z00.00, Z00.01 and Z00.419 as the primary dx. The payers are paying the claims as they are coded, for the most part. I’m wondering if this is allowable, and my only gripe is the money we’re losing out on by not coding 99385-99397? Is there documentation I can show my providers that says that this is not allowed?

Thanks!

Medical Billing and Coding Forum

Medical Shows Make You Sick

Health related TV shows like “House,” “ER,” and “Grey’s Anatomy” can all have a negative impact on our health. People who watch too many TV medical dramas have less general satisfaction than those who do not watch health related shows. A study conducted in the United States showed that watching TV can cause people to become more conscientious of health risks. People build up this perceptiveness because watching TV leads them to think they have a greater chance of being at a health risk. TV also can lead people to think these health risks are much more severe than they are in reality.

 

In this recently conducted study, 274 students in the College of Communications took a survey on their TV viewing and their life satisfaction. The students were not informed on the purpose of the survey. The students were between 18 and 31 years old. The group surveyed showed a high rate of dissatisfaction. It is thought that if a more varied group was surveyed the dissatisfaction would be higher. Other research and studies showed that TV viewing can cause a lower satisfaction because those watching TV become more materialistic.

 

Hypochondria is defined as excessive worrying over having a serious health illness. People who submerge themselves in medical related topics on a daily basis are more likely to become hypochondriacs. Medical students are the most common hypochondriacs as they are immersing themselves in new disorders every day, but anyone can be a hypochondriac. When watching health related shows often you have an increased risk of developing hypochondriac symptoms. Millions of people watch health shows and dramas, and even if you can avoid this you still see heath updates everyday on the news. When obtaining new health knowledge, people are more likely to think they suffer from the illnesses and conditions they hear about.

 

The best way to stop these TV related health problems is by limiting the time spent in front of the screen.

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