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

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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

Should I wait until the pt is discharged from hospital to create and send the claim?

Hello everyone,

I need your help… I am working in a practice that have been doing the hospital billing the same way for the last couple of decades. They are very fortunate to have the same employee for almost 40 years. Now that I involved in the hospital billing I have been informed that they wait until the patient is discharged from the hospital to create the claim. I have never heard of such rule and I cannot find any documentation to prove it right or wrong either. From previous experience, this rule was not recommended. I have always created the claims on a daily basis if possible, but at the end of the month all visits were counted as part of the monthly financial report therefore all hospital claims were created and sent to the insurance companies by the last day of the month.

My questions is: How do you do it in your practice, your experience? What is your recommendation? Should we wait until the patient is discharge from the hospital to create and send the claim>

In advance, thank you for your help and the learning experience.

Isvel Bacallao CPC

Medical Billing and Coding Forum

No Changes to E/M Payment Until at Least 2021

The 2019 Physician Fee Schedule and Quality Payment Program final rule has come out. The Centers for Medicare & Medicaid Services (CMS) announced they are not going to make changes to payment for E/M until at least 2021. CMS Administrator Seema Verma announced: “We know that this is going to have a tremendous impact on […]

The post No Changes to E/M Payment Until at Least 2021 appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

MDM (tests contemplated at OV, but not decided until days following OV)

I have a CNP who billed an office visit on 4/4/18 and told the patient that if his (chest pain) symptoms progressed, he should return and a stress test would be performed. The patient called back 8 days later and the CNP ordered the nuclear stress test. An addendum was made to the 4/14/18 note. Can the stress test be used to achieve a higher level of service for the 4/4/18 encounter?

Summary of encounter: Patient had increasing angina. Progressive symptoms were discussed with the interventional cardiologist. It was decided that the patient should continue to maximize medical therapy. "We will have the patient return for stress testing if his symptoms do not improve." The patent called the CNP on 4/12/18 and noted no improvement in his symptoms. A myoview stress test was ordered for the next day. Can the plan for the myoview stress test be counted in the MDM for 4/4/18, or because the "final decision" for it was not made until 8 days after the face-to-face encounter, does it not count toward the level on 4/14/18?

Pam Schmitt, RHIA, CCS, CCS-P, CPC

Medical Billing and Coding Forum

USP deadline on hazardous drug handling postponed until 2019

The U.S. Pharmacopeial Convention (USP) has announced it intends to push back the compliance deadline for USP Chapter <800> “Hazardous Drugs; Han-dling in Healthcare Settings” from July 1, 2018, to December 1, 2019.

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