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

Practice Exam

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What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

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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

Helping Substance Abusers Via Telemedicine

The U.S. Drug Enforcement Administration (DEA) missed its deadline for creating regulations for a special registration process for prescribing controlled substances via telemedicine. What Is the Ryan Haight Online Pharmacy Consumer Protection Act? The Ryan Haight Online Pharmacy Consumer Protection Act of 2008 regulated a provider’s ability to prescribe controlled substances. Under this Act, a […]

The post Helping Substance Abusers Via Telemedicine appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

inpatient substance abuse treatment

Hi, i bill for a hospital in NY that does inpatient substance abuse treatment ( detox and rehab), they also do medication maintenance once patient is discharged, and pain management for patients who have to use opiates to treat medical conditions. I have been searching for days on the correct way to bill these encounters. as in correct cpt codes, pos when admitted and during outpatient visits. For all inpatient we are using cpt codes 99221-9922 and 99231-99233 with pos 21 for all admitted detox and rehab patients. Then for the medication management we use 99201-99205 or 99211-99215 with pos 23? can anyone tell me where to find help at.

Medical Billing and Coding Forum

Individual therapy 50 min substance abuse

Is there a new code to bill for these one on one therapy visits, billing on ubo4. I have had a few denials for the 0914, 90806. I use bill type 133; rev code 0906; cpt 90806.

Services are performed while in op either php/iop/op programming.

Just need clarification of what is correct rev code and cpt code.

Any help is much appreciated

thank you

**coder

Medical Billing and Coding Forum

Provider Seeing Pts at Substance Abuse Facility for Non Behavioral Health Issues

Hello All,
I have a provider who has been asked to see patients at a substance abuse facility. These are Ohio medicaid kids who are inpatients at the facility. She will be seeing them for routine care, sick vists etc. not related to their behavioral health. I’m trying to determine the correct POS and CPT’s to bill for these services. My thoughts are 99341-99350 with POS 55. Am I close?

Thanks for any input.

Tammie

Medical Billing and Coding Forum

Substance TX and Private Insurance Billing

I bill for a group practice that is fairly new to private insurance. Our main payer is state medicaid. I am having a hard time trying to get info on how to bill private insurances when services are rendered under a certified addiction counselor…the state of Maryland acknowledges CAC’s but most private insurances don’t credential them but they do credential the LCSW’s or LCPC’s who are the supervising providers of each location. Cigna doesn’t recognize supervising and I know this isn’t the same as "incident to" billing as that is only in a physician setting. I bill on CMS 1500 and trying to figure this out. In most of our offices the CAC or CSC holds the assessments OP or IOP groups for substance tx, how is this billed under private insurances? Any help or hindsight would be greatly appreciated.

Medical Billing and Coding Forum

substance abuse assessment and type of bill questions for detox and residential

Please help

I am new to the substance abuse field and have a few things I wanted to run by anyone who is willing to help. I switched over from cardiology, integ, and podiatry and am now billing for a detox facility, residential and php facility. I was curious if you could help me with two things.

First where can i find the type of bill code for box 4 required for bc claims? I have been searching all over their website and can’t find anything. I read one thread that said to use 11X but i’m not sure if that’s correct or if it would be 86X since we are not a hospital?

The other question I have is the previous billing company was billing intake assessments with the code H0001 and H0002 and they are all denied from all the insurance companies or reimbursing at a really low rate. Would I be able to use an e/m code such as 99408 or 99409? or is there a better code for an initial assessment and also a discharge assesment?

I would really appreciate the help.
Thank you
Sarah CPC
you can respond on here or feel free to email me at [email protected]

Medical Billing and Coding Forum

Behavioral Health & Substance Abuse Residential Facility

Have a client in our residential treatment program which we bill services with Revenue Code 1001. Client left facility at 11:30pm yesterday and transported to ER, has not returned yet. Question…can we bill the 1001 for yesterday even though they were not there after midnight?

Thank you!!

Medical Billing and Coding Forum

Substance Abuse Intensive Out Patient H0015 billing provider?

The situation is that there is a substance abuse facility that performs the three hour intensive outpatient treatment service that is billed under one code H0015. The three hour segments of the service are performed by three different therapists. They are all therapists, no one is an MD. There is no Incident To situation going on. There is no supervising therapist. The MD oversees ongoing care generally, with regular visits but is not present at the time of these services.

How is the billing provider determined?

​My knee jerk reaction is to draw straws and pick someone of the three to bill under, and after spending many hours now reading on this, I still don’t have a better answer. Anyone have direction to an official answer on this, please let me know. ​

Medical Billing and Coding Forum

SAMHSA: Patient consent now required for substance abuse records

 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.

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