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”

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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

OIG Discovers $4.4 Million Overpayment in State Claims

A recent audit on Arkansas MMIS private contractor costs reveals millions in incorrect claims and inappropriate payments. Last month the Office of Inspector General (OIG) conducted an audit to determine whether Arkansas followed applicable federal and state requirements related to procuring private Medicaid Management Information System (MMIS) contractor services and claiming federal Medicaid reimbursement. They […]

The post OIG Discovers $ 4.4 Million Overpayment in State Claims appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Trustees state Medicare Hospital Fund will run dry in seven years.

The Trust support for Medicare Part A — which covers inpatient clinic and gifted nursing home consideration — will exhaust in seven years, as per the Medicare Board of Trustees’ yearly report. Medicare Part A’s Hospital Insurance Trust Fund will pay full advantages through 2026. That is that year the trustees’ accounted for a year ago.

Read the Full Story Here!

The post Trustees state Medicare Hospital Fund will run dry in seven years. appeared first on The Coding Network.

The Coding Network

OMH Guidline questions for NY State — Family Psychotherapy

Hi Everyone,

Our BH clinic just switched from DOH to OMH and I’m getting used to the new guidelines.

For family psychotherapy, it states that in order to bill a 90847, the session must be 60 minutes long. What happens if it’s less time? The 90846 states a minimum of 30 minutes is acceptable. I’m wary of ‘downcoding’ it to a 90846 for the time requirements, because the 90847 is WITH patient present, and 90846 is WITHOUT patient present.

Do I just code it as a regular psychotherapy visit if it does not meet the 60 minute time requirement?

Thanks in advance!

Medical Billing and Coding Forum

Z03-ruled out and Z33.3 – pregnancy state, gestational carrier

Hello, I am new to OBGYN coding and will greatly appreciate your help in these particular diagnosis.
1.Should we use Z03- condition ruled out or we should use dx from Indications/reason for the service? The cases we have -pregnant woman comes for an ultrasound for ‘low-lying placenta’ for example. This condition was in Indications but in Conclusions: the low-lying placenta is resolved, or MD can write ‘ placenta is normal." Is Z03 -ruled out appropriate or MD must say ‘ ruled out’?
2. In what cases can we use Z33.3- pregnancy state, gestational carrier? We had a case when a woman, a surrogate, came for an ultrasound and the Indication was: Surrogate state.
Thank you in advance.

Medical Billing and Coding Forum

Spot Vision Screening / Welch Product / Washington State

I have a question for you about Spot Vision Testing

My provider currently wants to purchase a Machine Spot Vision Screener, that will do an Eye Test in the Office for providers instead of the snellen chart.

But HCA/DSHS Fee Schedule states code 99177 would need a PA for every time we billed out this code and code 99174

99173

$ 1.87
$ 1.87
000
N

99174

B.R.
B.R.
000
N
PA

99175

$ 9.75
$ 9.75
000
N

99177

B.R.
B.R.
000
N
PA

Premera Private insurance states they would pay for 99174 roughly $ 40.00

My Problem is with CPT CODE 99174 , intstrament based ocular screening (eg photoscreening, automated-refraction), bilateral, with remote analysis and report
when it states remote analysis and report – does that mean the device itself is remote ? and the report that the machine prints ?

because in my mind I should be getting a report from a company remotely ?

PLEASE HELP !!!

Medical Billing and Coding Forum

Ins Refund laws for the State of Illinois

As per my understanding insurance can recoup or request refunds for the payments issued in last 18 months. I was trying to find some supporting documentation but there was nothing specifically for the state of Illinois. We have BC IDPA and BCBS coming back from 2014-2015 and taking the payments back. This is getting out of control now. Please help.

Medical Billing and Coding Forum

A Brief Overview of State and Private Medical Care in the UK

Some kind of medical services is can be sought in every nation in the world. The standard of care essentially depends on what location you find yourself in. This care can range from the very best to very simple. This piece looks at both private medical care and state-funded provision in Great Britain. Overwhelmingly, the NHS is the main care provider.

The majority of medical services in Britain are provided by the NHS. This service is paid for through taxation and is cost free at delivery point. While this medical care is widely thought of as good, waiting times can at times be significant for some operations and procedures.

One criticism of the state NHS is that some medications are not cost effective because to their pricing. Those who would benefit from private medical care might not to have this issue. They also get to enjoy faster service and more private surroundings or rooms.

Having said that, the NHS still remains extremely widely used – and it is considered generally that private medical care is only utilised as a ‘top up’ to what many people see as a dependable, and egalitarian system of medical care. A & E (or Accident and Emergency) and hospital care is free at the point of delivery, but some citizens (for the main part working people) are required to pay for prescriptions. People who are in full time education, and those of retirement age and other ones on benefits relating to incapacity get prescriptions for free.

The majority of the Britain’s private medical care is offered to the general population by BUPA (British United Provident Association). In 2008 the group acquired the Cromwell Hospital in the middle of London – creating its principle medical facility in the country’s capital city, which many say is indicative of their aspirations.

There are also various other private medical care hospitals available across the nation, be it in Leicester, Glasgow, London or Birmingham. This sort of care is frequently thought to need medical insurance, but in reality lots of hospitals provide the possibility of one-off payments for single procedure. As has been well documented, private health care can lower or indeed get rid of the need to wait for operations.

In situations where individual people are waiting for procedures which have a substantial waiting list on the National Health Service, private health care can be an option – the big reason for selecting it is frequently the pain involved in the ailment remaining without treatment.

Whatever the kind of health insurance a patient has – medical services in Britain are good, catering for all pockets and all needs. Whether you are in the ninety-two percent of people who use the always-present NHS, or 1 of the eight percent who decide to top up their options with a faster private scheme, quality medical care is available for everyone.

Gino Hitshopi is highly experienced in the realm of both state and private medical care, having worked in the medical industry for many years. For more information please visit: http://www.claremont-hospital.com/