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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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Category Archives: Medical Coding Exam Prep

Observation Followed by Discharge

If a patient is placed under observation status and is discharged on the same date of service, proper coding will depend on whether the observation status lasted fewer than, or more than, eight hours. — For observation status lasting fewer than eight hours, report initial observation care (99218-99220 Initial observation care, per day, for the […]
AAPC Knowledge Center

Telehealth Services See Little Growth in 2017

If telehealth is the wave of the future, we’re still in the Dark Ages. The public has an ongoing opportunity to submit requests to the Centers for Medicare & Medicaid Services (CMS) for adding or removing services from the list of Medicare-covered telehealth services. This year, however, CMS is proposing not to add the majority of […]
AAPC Blog

Why You Should Worry About PAMA and Tests

Do you think you don’t have to worry about PAMA because you are a physician clinic? You may be wrong and this assumption could cost you big bucks. Background Section 216 of the “Protecting Access to Medicare Act of 2014” (PAMA) requires the Centers for Medicare and Medicaid Services (CMS) to change how it pays […]
AAPC Blog

Multiple Diagnostic Imaging Procedures Pay More in 2017

Effective Jan. 1, 2017, Medicare administrative contractors (MACs) will reimburse physicians, providers, and clinical diagnostic laboratories considerably more for the professional component (PC) of certain diagnostic imaging procedures than in years past. When Less is More Since 2012, MACs make full payment for the PC of the highest-priced procedure, and apply a Multiple Procedure Payment […]
AAPC Blog

CMS Updates Hospital Compare Star Ratings

Patients and their families look for ways to better understand healthcare choices to help them receive the best treatment possible. With this in mind, the Centers for Medicare & Medicaid Services (CMS) has published Hospital Compare information to help patients, “learn about the quality of hospitals, compare facilities in their area side-by-side, and ask important […]
AAPC Blog

Inpatient Psychiatric Facilities: 2017 Rates Are a Done Deal

Bypassing the standard notice of proposed rulemaking and public comment period, the Centers for Medicare & Medicaid Services (CMS) issued, July 28, a final notice of 2017 Medicare payment and policy changes for inpatient psychiatric facilities. CMS can waive notice and comment if they have good reason. “We find it unnecessary to undertake notice and […]
AAPC Blog

ICD-10-CM Coding: Hypertensive Heart Disease, Chronic Kidney Disease, and Hypertension

Hypertensive heart disease refers to a group of disorders that includes heart failure, ischemic heart disease, and left ventricular hypertrophy. It is the number one cause of death associated with high blood pressure. Documentation must state (heart failure due to hypertension) or imply a causal relationship (hypertensive heart failure) to assign a code from category […]
AAPC Blog

Clinical Parameters to Guide Provider Documentation Queries

When medical documentation is unclear or incomplete, the coder’s job is to query the provider. This can be done verbally or in writing, but not in an email or with a sticky note in the chart. With the introduction of electronic medical records (EMR), best practice is for queries to be in writing via messaging […]
AAPC Blog