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

Inpatient Consults/ICU Care /Postop within global period

I am new to this ENT specialty. Several of our physicians do many surgeries and spend significant time doing follow-up in ICU or other post-op follow-up visits….Typically for complications of surgery (i.e. tonsillectomy bleed or CSF sinus leak), other than billing for the complications procedure, such as 42962 with a -78 modifier. Is anyone aware if there is a way to capture the followup inpatient visits, within the global period, especially critical care/ICU care. I have not been able to find any way to capture any charges aside from a procedure they perform, when in the global period. This is a new specialty for me. Thanks.

Medical Billing and Coding Forum

Clarification for With/In ICD-10 guidelines

15. “With”
The word “with” or “in” should be interpreted to mean “associated with” or
“due to” when it appears in a code title, the Alphabetic Index (either under a
main term or subterm), or an instructional note in the Tabular List. The
classification presumes a causal relationship between the two conditions linked
by these terms in the Alphabetic Index or Tabular List. These conditions
should be coded as related even in the absence of provider documentation
explicitly linking them, unless the documentation clearly states the conditions
are unrelated [/B]or when another guideline exists that specifically requires a
documented linkage between two conditions (e.g., sepsis guideline for “acute
organ dysfunction that is not clearly associated with the sepsis”).

– I have a case, the patient has vitamin b12 deficiency, and dementia. Dr. does not document a causal relationship. However, in the alphabetic index of ICD-10 under term dementia, subterm "in", Vitamin B12 deficiency is listed. According to the above mentioned guideline, should i report E53.8, and F02.80?

Please Help, Thank You.

Medical Billing and Coding Forum

1/3 of patients using telehealth platform received in-person care at the facility within 1 year

Tacoma, Wash.-based MultiCare Health System succeeded in increasing patient acquisitions through its telehealth program, according to an analysis by the health system and its virtual care provider Zipnosis.

Read the full story here!

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The Coding Network

Using 90882 within the same agency

Can anyone tell me if it is appropriate to bill 90882 for each provider when two providers in the same agency consult with each other about the same patient the same day? My gut tells me no way. But I can’t find any definitive info and I need documentation to show them why not if they can’t. This would be primarily to Medicaid. Appreciate any insight from the forum.

Medical Billing and Coding Forum

Repeat Procedure within Global Package

A patient came in to get lesions removed using cryosurgery. 8 days later the patient comes back for a repeat procedure on the same lesions. What modifier would be appropriate to use on the CPT code 17000?
Or would this be still part of the global package and not billed?

thank you,

Kellie

Medical Billing and Coding Forum

Emergency room visits (more than 1 visit within 24 hours)

Hello fellow Coders,

If a Patient makes more than one visit per day to the Emergency Dept. (e.g. 2, 3, 4 ED encounters within 24 hours); in what instances would more than one encounter be paid? Are there any guidelines available in reference to such?

Thank you in advance.

Medical Billing and Coding Forum

Chiropractic Health Care Treatment is a Controversial Subject Within Medical Care

The definition of chiropractic health is a lengthy one. One that’s hard to understand, even for a writer. What it basically means is that, disorder of the spine and other areas of the musculoskeletal system affect someone’s general health through the nervous system. Did you understand all of that? Neither do most doctors.

The Yankee Medical organisation chose to boycott the chiropractic health injury until 1987 when they lost a highly publicized antitrust suit. In released statements the Association called the chiropractic approach an unscientific cult. They point out the fact that no definitive proof has been found to support concepts that chiropractic can help alleviate pain anywhere, but in a patient’s back.

Since the ruling in 1987 the methods and treatments involved in chiropractic health have gained a wider acknowledgment. Physicians sometimes endorse their patients to a trustworthy chiropractor. Although it’s affect on general health remains debatable, spinal manipulation has proven to be useful in treating back wounds.

The back is a crucial part of our existence that demands in the industry remain constant. However, I do not see family chiropractors coming into the principal anytime soon. The industry remains divided amongst themselves about the right techniques of treating patients or diagnosing sickness. There are two methods of chiropractic health that stand at odds with each other.

Doctors using the 1st approach are called ‘Straights’. Straights are recounted to emphasize vitalism, intelligence, and adjustments of the spine. The pioneers of the straight method are D. D. Palmer and his boy B. J. Palmer. D. D. Palmer started what’s now know as chiropractic in the 1890s. Straight chiropractors believe that subluxations of the spine or the vertebrae are probably the under lying cause of all illness and diseases. Also, they believe that realigning the vertebrae will cure initial stages of most sicknesses and you should not mix differing kinds of treatments and therapies.

The second kind of chiropractic health doctor is referred to as a mixer. They represent the bulk of chiropractors working today. Mixers are more accepted in the main stream due to their softer more scientific view toward the root of illness and sickness. Mixers accept treatment approaches from many different view points in the medical community and mix them to meet their patients’ needs.

Chiropractic health is recognized everywhere in the world, even if it is not accepted. Asian populations tend to lean toward acupuncture to alleviate back pain. By accident, acupuncturists have the same beliefs that straight chiropractors do. Believing that healing aliments of the spine will lead to overall healthiness.

Chiropractic health is most distinguished in Canada, Australia, and the US. Today there are of sixty five, 000 doctors of chiropractic working in English speaking nations. The U.S. has the most by far. Almost 20 accredited colleges in the U.S. Offer doctorates in this type of hospital therapy. With the amount of doctors growing, pressure has been put on the chiropractic health industry to better control itself. This form of medicare has the most grouses of fraud.

Before you investing time in finding relief, go to Triangle Wellness Chiropractic and Holistic Care, to get more information on chiropractic wellness center and chiropractic alternative medicine. Visit us today!

pre-operative visit within a global period for related procedure

If the patient had a partial removal of colon with colostomy and is still within the 90- day global period, can/should the same physician bill for the pre-operative visit prior to the colostomy reversal? It feels like this should just be a 99024 post op visit but another coder is telling me we MUST bill the pre-op with modifier 24?

Does anyone have a link to an article on this topic that they could share? I can’t seem to find any example like this….

any help would be greatly appreciated

Thanks

Medical Billing and Coding Forum

how to bill within a multi-specialist clinc for same day appointments?

I work for a multi-specialist clinic (pcp, ortho, pod, cardio, etc)—–can we bill for same day appointments by two different specialities for the same patient? Example: patient sees a podiatrist and an orthopeadic doctor on the same day & both the podiatrist and orthopaedic doctor uses the same Tax ID for billing purposes

Thank you

Medical Billing and Coding Forum