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

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

Take the Training Wheels off EHR Systems

Electronic health records (EHRs) are a major reason for physician burnout and job dissatisfaction. But they are about to improve the healthcare experience for physicians, ancillary medical staff members, and patients. Now’s the time to take off the EHR training wheels. But like learning to ride a bike, freeing EHR systems to deliver on spectacular […]

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AAPC Knowledge Center

Current Employment Opportunities @ Augusta University Health Systems In Augusta, GA

Augusta University Health System is looking for hard-working, dedicated, detailed oriented coding staff that is interested in using Computer Assisted Coding (CAC). If you want to be a part of the only teaching hospital in the CSRA, this position could be for you! You will be required to pass an entrance coding test prior to an interview.
The Coder I – Professional Services reviews provider documentation and provider assigned diagnoses and CPT codes. The Coder will accept and/or add/revise the ICD-10-CM, CPT Codes, HCPCS Codes and enters modifiers to reflect services provided and to support Professional Billing. The coder will review and accurately code CPT codes for E/M level and associated diagnoses codes, as well as minor procedures (0-10 day global periods), performed during non- intensive inpatient or outpatient encounters. Maintains knowledge of coding and billing requirements and regulatory changes. Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations. Must hold either AAPC Certified Professional Coder (CPC or CPC-A) or AHIMA Certified Coding Specialist-Physician-based (CCS-P) certifications.
The Coder II – Professional Services reviews provider notes, operative reports, and provider assigned diagnosis, procedure, and E/M codes. The Coder II will accept and/or add/revise the ICD-10-CM, CPT procedure codes, CPT E/M codes, and HCPCS Codes and enters modifiers to reflect services provided and to support Professional Billing. The coder reviews clinical and surgical documentation and accurately codes CPT codes for E/M level and associated diagnosis codes as well as operative (major procedures- 90 day global) and bedside procedures performed during intensive care inpatient or outpatient encounters. Maintains knowledge of coding and billing requirements and regulatory changes. Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations. Must hold either AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist-Physician-based (CCS-P) certifications. Must have at least 2 years coding experience for a Coder II position.

These are on-site positions.

Please apply at https://careers.peopleclick.com/care…rnal/search.do. The coding positions can be found under HIMS/Coding Category. Come join our team!
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Medical Billing and Coding Forum

Know Review of Systems for More Accurate Coding

Both the 1995 and 1997 Evaluation and Management Documentation Guidelines define a review of systems (ROS) as an account of body systems obtained through a series of questions seeking to spot signs and symptoms that the patient may be experiencing, or has experienced. This query is made by the physician and/or the staffs verbally, or […]

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AAPC Knowledge Center

Review of Systems

can a physician just use a blanket statement of All other systems reviewed/neg:YES" and not complete any of the ROS on a patient? I was under the impression that they had to complete the ROS that was pertinent to the issue in the HPI. I know I can pull some things from the HPI but they don’t always give a lot of information there.

The physician is telling me this: There are other facilities and ED staffing companies that routinely use this statement to indicate that a 10-point ROS has been completed and bill as such. In addition, it is my understanding that ROS may be extracted from the HPI as documented.

Can anyone provide me with some guidelines or documentation verifying the physician needs to document more than All other systems reviewed/neg:YES?

Review of Systems
Review of Systems
All other systems reviewed/neg: Yes

Thank you so much!

Medical Billing and Coding Forum

Coverage Expands as Six Health Systems Combine

Borrowing a page from the plan announced by Amazon, JP Morgan Chase, and Berkshire Hathaway, six healthcare systems in New Jersey are joining their work forces to expand coverage to 50,000 employees and dependents under a single self-insured health plan. The goal of joining together is to reduce costs and improve access to high quality healthcare services […]
AAPC Knowledge Center

Review of Systems – Documentation for Complete ROS

Guidelines say: At least ten organ systems must be reviewed. Those systems with positive or pertinent negative responses must be individually documented. For the remaining systems, a notation of indicating all other systems are negative is permissible. In the absence of such a notation, at least 10 systems must be individually documented.

There are 14 possible systems to be reviewed. Does this statement mean that to get credit for a complete ROS you have to individually document the 10 systems and then all remaining (4) can be documented as "all other systems negative)?

I have always allowed my providers to document the pertinent +/- (however many that may be) and then state "all other systems negative" to get credit for a complete ROS. A coder on our team is reading the guidelines differently so we thought we’d see how others interpret this.

Thank you,

Medical Billing and Coding Forum