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”

Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page

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

6 Reasons Why You Need More Than a 4-Week Online Course for Medical Billing and Coding

How long does it take to become a medical billing and coding specialist? If you’re considering a career in medical billing and coding and have seen claims promising to teach you the skills and knowledge you need in a matter of weeks, we’d like to set the record straight. Career Choice: Is Medical Billing and […]

The post 6 Reasons Why You Need More Than a 4-Week Online Course for Medical Billing and Coding appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Bone Marrow aspiration w/Bone graft other than spine

I am seeking guidance on which would be the correct code to use for Bone Marrow aspiration w/Bone graft other than spine. There seems to be a contradiction in the guidelines/instructions regarding 20939 and 38232. Others have stated that 20999 should be used. Has anyone had any experience with these codes. Thank you

Medical Billing and Coding Forum

history other than patient/mdm

I have a NP who works pediatrics and does a wonderful job of documenting if her HPI/ROS is obtained from the patient (15 year old, etc.) or if it is obtained by someone else (Mother states…).
We have a debate in our office on if this should be counted in determining the E/M level in the "Data" are as obtaining history from someone other than the patient. They feel that this should only apply to pts whos medical condition prevents the patient from giving information and it does not pertain to patients who are prevented because of their age.
I disagree. I feel that regardless of WHY the provider can’t get the information directly from the patient, it is still second hand information that adds a level of difficulty to their MDM.

Does anyone have documentation and/or sources I can refer to in sorting this out?

Medical Billing and Coding Forum

Billing more than 2 units for B12 injection

Good Morning,

I work for a medical practice and we have a few patients that receive 2000mcg of B12. I am aware the Medicare only covers 1000mcg but is there a way to bill the claim to Medicare so they will cover 1000mcg and deny the other 1000mcg of B12. Our claims are not making it through to Medicare. I really appreciate the help!

This is how the the claims are billed to Medicare:

J3420/59
J3420/59
96372
96372

Medical Billing and Coding Forum

“Obtain hx from someone other than patient”

This phrase is in the "Amount and/or Complexity of Data Reviewed" for one point and also for two. It is my understanding the "someone" must be a medical provider to get to that second point. What is the degree the "someone" must have to get to that second point? Is obtaining a patient’s history with an LPN enough to get that point in the complexity?

Thank you,
Michelle

Medical Billing and Coding Forum

Will Medicare Be Bankrupt in Less than a Decade?

If Congress and other stakeholders continue to drag their heels, Medicare bankruptcy is a real possibility. The Medicare Part A trust fund will be depleted by 2026 and Medicare Part B spending will grow more than 8 percent over the next five years, according to the 2018 Annual Report by Medicare’s Board of Trustees. Two things […]
AAPC Knowledge Center

DOS when services last more than one day

Did anyone else read the HBM December 2017 issue that states on page 26 that the correct DOS for a multi day procedure is the date of conclusion?
The example given on the test yourself was : Start 1135pm on Oct 31 / End 150am on Nov 1

Normally, I would have chosen the DOS to be 10/31; however per this article (& test) it should be 11/1.

What are you using? The date of starting time or the date of end time?

This totally blew my 22 years of experience out of the water. Have I been mis-informed for all these years? :confused:

Medical Billing and Coding Forum

Date of Service When Services Last More than One Day

In most cases, the appropriate date of service when services last more than one day is the day the service concluded. Radiology services typically have two components: professional and technical. The DOS for the technical component is the date the patient received the service. Professional claims for “reading” are billed the day the physician provided […]
AAPC Knowledge Center

Investing in Your Career is Easier Than Ever

AAPC partners with Affirm to offer financing options for online courses and conferences. AAPC recognizes that certain expenses are crucial to advancing your career, and we’re committed to making those higher-cost purchases more affordable. With the help of a company called Affirm, we now offer a monthly payment plan option on our certification courses and […]
AAPC Knowledge Center

High risk pregnancies with more than 13 antepartum visits

Hello,

Most all of the ob/gyn docs I work for have a number of patients that are requiring more than the global 10-13 antepartum visits for their care. Whether it be for poorly controlled gestational diabetes, pre-existing dm, drug abuse, etc., how does anyone out there bill for these extra visits and get them paid successfully? Please advise.

Thank you!

Medical Billing and Coding Forum