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

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2016 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

Genetic Cancer Testing

I have a quick question since I am new to Laboratory billing and coding. Our billing company test for Genetic Cancer and we receive a requisition from the doctor which states what test are being ordered. We are only receiving Authorization from the Insurance company on 1 CPT code (81211-BRCA1/BRCA2) out of 24 CPT codes that are on the order. The main questions is are we obligated to bill all CPT codes or can we bill just what we received authorization for from the Insurance company??? Some of the Insurance companies deny the whole claim and say we are testing a panel, but we do have authorization for 1 of the CPT codes. Is there documentation for the answer for I can review and share with my colleagues. Any information would be gratefully appreciated!!

Medical Billing and Coding Forum

Home Medical Testing Beats High Prices For Medical Supplies

Are you tired of paying too much for medical supplies at the pharmacy? Almost always, the prices there are so high they almost reach the level of ridiculous. And that is to add to the fees you’ve already paid to see your local doctor. Did you know that it is now possible for you to buy medical testing equipment that you can use at home? At a discounted price, you can purchase the same kind of stuff they use at the doctor’s office, and use it to help improve your general wellness, without waiting in line at the clinic, or spending an arm and a leg at the pharmacy.

What you may not realize is that there are some things that can be tested just as easily at home. Things such as tests for Strep Throat or pregnancy are things that you don’t have to pay the doctor to tell you. Having medical testing supplies at home will do much to improve your life, and save you some dollars.

Whether you are part of a private practice, or are just a mom who would rather take care of some of these things at home, having medical supplies shipped straight to your home or office will be a convenient and important way for you to save money, and have all the equipment that you’ll need. There are online providers for thousands of medical supplies, who work hard to offer them to you at a discounted price that you’ll be satisfied with. It may even be possible for these companies to get a hold of something specific for you, if they don’t already have it in stock.

These offers can be a fantastic opportunity for doctors to get some of the things that they need as well for their offices. Even more complicated equipment, such as ECG machines, EKG Nikotabs, and Cardio Sense disposable electrodes are ready and available for shipping, at an extremely discounted price. Some companies will even ship the items for free, if the total price is over a certain amount.

Being a part of the online world, ordering and shipping is usually very simple, and stress-free. Most companies offer some sort of online “shopping cart” which allows you to keep track of the things that you want to purchase, as well as give you a total price calculated with the addition of shipping. You can pay by credit card, and immediately direct the shipping service to the place where you wish to have the items dropped off.

With these great services, you’ll be able to do just as well as if you had taken the time and spent the extra money to go to the doctor. Home medical testing works just as well – try it today!

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Psychiatric eval 90791 and Psychological testing 96101

Our Psych providers are posing the below question.

90791 – Psychiatric diagnostic evaluation
Providers currently bill 90791 for an initial intake appointment. This is when the providers are gathering information from the parents regarding their concerns. Outside of the appointment, the parents complete questionnaires and measures to help the psychologists determine what diagnostic testing may be appropriate.

If testing is warranted, they then bill 96101 for the testing/evaluation and the subsequent time it takes to analyze, write the reports, etc. An authorization for this service is often required and they may request up to 8 hours for it.
96101 – Psychological testing (includes psychodiagnostic assessment of emotionality, intellectual abilities, personality and psychopathology, eg, MMPI, Rorschach, WAIS), per hour of the psychologist’s or physician’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report

Our question is since the 90791 is broad, what would keep them from being able to bill 90791 for the testing and then 96101 for the time it takes to interpret the results and write the report?
Can anyone offer any insight??

Medical Billing and Coding Forum

How to quote abort services for pscyh testing 96101 is modifier 52 appropriate to use

Hello

I have to bill for psych testing-96101 that doctor/psychologist had to abort because patient wouldn’t participate at all, she spent 2 hours on it reviewing notes, talking to the parents, observing a patient and DI-90791 was done on a different date as well, so I was wondering if using modifier 52 with this procedure code would be appropriate? We have to get paid at least a little bit for doctor’s work. Thanks so much

Medical Billing and Coding Forum

Reference Laboratory Testing

Medicare states that when performing laboratory test by both the billing laboratory and a reference laboratory, you are not to split the claim. You distinguish the test by using modifier 90 for the tests that were referenced out. My question is who’s information goes in box 31 and 32 on the 1500 form? The billing laboratory or the the reference laboratory?

Medical Billing and Coding Forum