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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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

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Click here for more sample CPC practice exam questions and answers with full rationale

HIPAA Privacy Rule Initiative Violations Mounting

Providers learn ignoring the Right of Access standard is a costly mistake. The Office for Civil Rights (OCR) announced July 15 the resolution of 11 HIPAA Right of Access Initiative investigations. This makes 38 enforcement actions since the initiative began. The Right of Access Initiative was implemented in 2019 to help patients obtain their medical […]

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AAPC Knowledge Center

Avoiding Physician Self-Referral Violations Starts with a Code List

Every year, the Centers for Medicare & Medicaid Services (CMS) updates their Designated Health Services (DHS) Code List. What are designated health services, and why should you care? The Link to Designated Health Services and the Law By law, CMS categorizes the following as designated health services: Clinical laboratory services Physical therapy services Occupational therapy services […]

The post Avoiding Physician Self-Referral Violations Starts with a Code List appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Hippa violations

Can someone help me clarify hippa violations and whatever it would be called if the practice is upcoding?
I started working for a practice in April and I had numerous log ins for numerous websites and I was required to keep all my log ins and passwords in a notebook so everyone could use them. Except our billing software which everyone had their own for. I tried to quit this place and they guilted me into working from home and I had to leave my notebook of passwords there for them to use. I finally quit and they are still using my info on these websites. I know this because while I was working there I had to reset all of them to my info as they were still using previous employees information. I’m wondering if this is a violation.

Also when the main provider/owner comes to me on three separate instances and says to me "we’re in trouble if we ever get audited" what am I supposed to do with that? I have no experience with auditing so I didn’t know if they are doing something fraudulent or not but I do know that she was referring to Medicare and she was so worried that they actually opted out of Medicare. I also noticed on numerous claims from the past before me they were billing Medicare for things that were absolutely not documented anywhere. I even inquired about some of them. These were all significant enough for me to leave this place and in the two weeks since I’ve left 3 more people are leaving and another in the next two weeks.
I’m just not sure how to proceed with this. I believe they are violating various regulations but I don’t know the regulations well enough or what to even do. Can anyone give me some direction?

Medical Billing and Coding | AAPC Forum