Click here for more sample CPC practice exam questions with Full Rationale Answers

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Tag Archives: Regarding

CMS Issues Guidance to States and Manufacturers Regarding Value Based Purchasing (VBP) Arrangements

The Centers for Medicare & Medicaid Services (CMS) released guidance to states and manufacturers regarding participation in value based purchasing (VBP) arrangements.  The guidance also encourages states to participate in such arrangements as a means to address, as well as offset, higher cost drug treatments. 

This guidance has been released through State Release #176 and Manufacturer Release #99, which are available for download by clicking here.

If you have any questions regarding the states and/or drug manufacturer releases, email MDROperations@cms.hhs.gov.

The Medical Management Institute – MMI – Medical Coding News & MMI Updates

Information Regarding the Medicare Access and CHIP Reauthorization Act of 2015


On April 14 , 2015, Congress passed the Medicare Access and CHIP Reauthorization Act of 2015; the President is expected to sign it shortly.  This law eliminates the negative update of 21% scheduled to take effect as of April 1, 2015, for the Medicare Physician Fee Schedule.   In addition, provisions allowing for exceptions to the therapy cap, add-on payments for ambulance services, payments for low volume hospitals, and payments for Medicare dependent hospitals that expired on April 1 have been extended.  CMS will immediately begin work to implement these provisions.

In an effort to minimize financial effects on providers, CMS previously instituted a 10-business day processing hold for all impacted claims with dates of service April 1, 2015, and later.  While the Medicare Administrative Contractors (MACs) have been instructed to implement the rates in the legislation, a small volume of claims will be processed at the reduced rate based on the negative update amount.   The MACs will automatically reprocess claims paid at the reduced rate with the new payment rate.

No action is necessary from providers who have already submitted claims for the impacted dates of service.


Coding Ahead

Medical Coding ? All An Individual Need To Apprehend Regarding Medical Coding

If you’re looking to start a service based business from home, are smart, eager to learn and can invest a bit of time in training, a medical coding business may be an option for you. Medical coders operate with hospitals, doctor’s offices and a lot more to code documents for insurance filing functions.

The reimbursement process itself is a tiny extra concerned than many individuals may realize. It includes descriptions of procedures and services the physician provides. The descriptions used by the physician can be quite long and detailed – to not mention, confusing. That is why a coding process is used. This can be a code of numbers with each representing a procedure and/or service possible to be supplied by a physician. There also codes used to symbolize each disease, condition or injury.

You are no doubt reading this because you want to perform from home and are in search of a few business startup ideas. You may want to escape prairie-dog-town, home-school your youngsters, or finally do one thing on your unique. Whatever your reason, you can start and expand your medical coder or transcription business by leveraging your past perform expertise and excessive level of motivation, and professionalism. There are plenty of people who can empower and enable you.

With the median salary for a medical coder [http://www.bls.gov/oco/ocos103.htm#earnings] getting $ 25,590 in 2004 (with the top rated 10 % of medical coding specialists earning $ 41,760) and the chances of doing work from home, it’s no wonder that many females and men seeking to operate at home are exploring this career selection. By owning the medical coding business yourself, you can anticipate to earn higher profits with a successful business you then could as an worker of a medical coding agency or hospital setting.

The 2nd area of your program includes: anatomy and physiology. You’ll acquire an in-depth expertise of anatomy, physiology, pathophysiology, and laboratory medicine. Learn tips on how to identify, pronounce, spell, locate, and understand anatomical terminology so that you can describe the framework and perform of the entire body, the organ systems, and the relations of 1 part to another.

The last area of instruction includes: medical coding. Learn the coding rules for that ICD-9-CM, ICD-10-CM, CPT, and Stage II (HCPCS) systems and the way to apply these rules when coding patient records. Discover how to use the 2010 coding manuals by means of hands-on exercises and case research. Additionally, learn a basic overview of the ICD-10 coding technique and pending conversion in 2013.

A medical coding certification program is made to train coders so that they make the best use of their skills although also teaching them critical analysis methodologies which are a lot in demand by employers.

Medical coding is a great career to think about. You can get started right away by investigating college options and completing the online application type. Medical coding could possibly be the chance you have been searching for a rewarding, challenging, very well revered and great paying career.

In spite of the claims of many individuals that the need of a right medical coding certification program will not be essential; it really is worth mentioning the fact that to be able to become a professional medical coder and progress by leaps and bounds it is critically important to totally realize the really worth of a correct certification program. Additionally, owing on the increasing percentage of white collar crimes and far more sophisticated crimes rising on the realm of net; a majority of employers choose for licensed medical coders. This insures that the medical coder is trained and apt enough to deal with complex troubles and also saves them from falling prey to deliberate deceptions.

Medical Coding Factoring – An alternative financing arrangement, through which a factor purchases the accounts receivables of a company, advances a distinct percentage of the invoice immediately and then collects on those invoices.

If you desire further suggestions regarding medical coding certification and medical coding salary, check out our site that covers a great deal of medical coding certification, medical coding certification & medical coding and billing.