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Tag Archives: Tips

Comment on Tips to Pass AAPC’s CPC Exam by Zen Weller

I found it very helpful to tab the sections that are most used, and that I knew I would need immediate reference to. For example, if you know you have trouble remembering POS numbers, it would be a good idea to tab the appendix that lists them (in my CPT version when I tested, this is Appendix M). You may want to tab the HCPCS modifier appendix, or the CPT modifier appendix; Both good ideas for taking the CPC exam. Look through your conventions in the ICD book as well. These rules are extremely important for the exam.. Get familiar with them, and tab the ones you may have trouble remembering. Sepsis, HIV, and pregnancy conventions are a few to note. Basically, go through your books, and note the areas that you feel the least comfortable with, so that you can reference them quickly.. Keep in mind that the exam is really only to prove that you know “how” to use the references. Cater your notes and tabs to your own specific needs. Great luck to you!

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Tips from this month’s issue

Tips from this month’s issue

Small breaches could become a big problem (p. 1)

1.Regional offices were advised to increase investigations of breaches affecting fewer than 500 individuals. Investigators will look for evidence of systemic noncompliance, such as multiple small breaches and common root causes.

2.Implementing OCR’s directive may be a tall order for resource-strapped regional offices, and it’s difficult to predict what the outcome will be.

3.Because small breaches weren’t investigated on the same scale as large breaches, OCR has much less data on them. Stepping up small breach investigations will mitigate that and may lead to improved guidance on key HIPAA pain points.

4.Although large breaches grab attention, they’re statistically less likely than small breaches.

5.But even a breach involving a single patient’s records can have serious consequences for the individual and even impact his or her safety if the medical record becomes compromised as a result.

6.Large health systems may lose sight of the details and brush off small breaches, but it’s the duty of privacy and security officers to take every breach, no matter how large or small, seriously and ensure the organization does so as well.


The cost of a data breach (p. 4)

7.Data breach costs vary between industries but healthcare, a highly regulated industry, sees especially high data breach costs.

8.Direct costs include remediation efforts and possible fines, but indirect costs are sometimes more difficult to identify and quantify.

9.Breach notification costs are the highest in the U.S.?first class postage adds up fast.

10.The more quickly a breach is identified and contained, the lower the cost. A well-prepared security incident response team is a smart investment that will pay off.

11.Participating in threat sharing may also be linked to lower data breach costs, but executive leaders may be concerned that sharing information on cybersecurity threats will put confidential information at risk. But no sensitive business information needs to be disclosed to participate.

12.Direct breach costs may be significant on their own but may not stack up against other risks an organization faces. Remember that one of the indirect costs of a data breach can be bad debt via medical identity theft. Bad debt is a top financial risk, and any measures that can bring that risk down are worth investing in.


Is HIPAA enough? (p. 8)

13.The rise of ransomware and other threats has led some stakeholders and lawmakers to question whether HIPAA is robust enough to provide even a reasonable bare minimum of security.

14.OCR has pointed fingers at executives for failing to support strong security programs, but the agency has no power to hold those executives accountable.

15.OCR recommends that CEs and BAs follow NIST’s cybersecurity framework, but that standard is only optional?not required?and many organizations may choose to not spend more resources on security than required.

16.Failure to complete an organizationwide risk analysis will land a CE or BA in hot water if a breach happens, but other federal agencies are critical of OCR’s risk analysis guidance, calling it inadequate.

17.HIPAA is designed to work with state laws. CEs and BAs must follow all applicable state privacy and security laws. In some cases, state laws may be stricter than HIPAA and provide stronger security requirements or clearer guidance. – Briefings on HIPAA

Sterilization forms and coding: documentation tips post ICD-10 implementation

Sterilization forms and coding:  documentation tips post ICD-10 implementation
Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, CDIP
Originally published: March 25, 2016
Coding and reimbursement for sterilization has more to it than simply applying the CPT code, diagnosis code, submitting the claim and “voila”  having the reimbursement dollars  magically appear in the revenue stream. 
The Federal Government has regulations in place that need to be followed for those providers that perform sterilizations and accept reimbursement from federally funded payers.    These mandates are found within U.S. Code: Title 42 – The public health and welfare  and are contained in the laws within Title 42.  The sterilization consent form requirements can be officially found  within; Title 42; Chapter I, Subchapter D, Part 50, Subpart B,  Section 50.205.  This is commonly referred to as  “42 CFR 50.205 – Consent form requirements”
If you are a provider who performs sterilization procedures on a frequent basis, you are probably well versed in the process of getting this form filled out correctly and getting reimbursement.  Many providers who only occasionally provide sterilization services are unaware of this mandated form, and either get the form filled out incorrectly, or don’t get the form filled out at all.  This creates issues for the entire practice, and impacts the revenue you rightly deserve for providing this care.   The requirement of this form is non-discriminatory, in the fact that it has to be filled out and utilized for those who perform sterilization procedures on men as well as those sterilization procedure performed on women.
50.205 Consent form requirements
“42 CFR 50.205” contains these parameters to be fulfilled
(a)   Required consent form. The consent form appended to this subpart or another consent form approved by the Secretary must be used.   link to federal form HHS-687
(b) Required signatures. The consent form must be signed and dated by:
(1) The individual to be sterilized; and
(2) The interpreter, if one is provided; and
(3) The person who obtains the consent; and
(4) The physician who will perform the sterilization procedure.
(c) Required certifications.

(1) The person obtaining the consent must certify by signing the consent form that:

(i) Before the individual to be sterilized signed the consent form, he or she advised the individual to be sterilized that no Federal benefits may be withdrawn because of the decision not to be sterilized,

(ii) He or she explained orally the requirements for informed consent as set forth on the consent form, and

(iii) To the best of his or her knowledge and belief, the individual to be sterilized appeared mentally competent and knowingly and voluntarily consented to be sterilized.

(2) The physician performing the sterilization must certify by signing the consent form, that:

(i) Shortly before the performance of the sterilization, he or she advised the individual to be sterilized that no Federal benefits may be withdrawn because of the decision not to be sterilized,

(ii) He or she explained orally the requirements for informed consent as set forth on the consent form, and

(iii) To the best of his or her knowledge and belief, the individual to be sterilized appeared mentally competent and knowingly and voluntarily consented to be sterilized. Except in the case of premature delivery or emergency abdominal surgery, the physician must further certify that at least 30 days have passed between the date of the individual’s signature on the consent form and the date upon which the sterilization was performed. If premature delivery occurs or emergency abdominal surgery is required within the 30-day period, the physician must certify that the sterilization was performed less than 30 days but not less than 72 hours after the date of the individual’s signature on the consent form because of premature delivery or emergency abdominal surgery, as applicable. In the case of premature delivery, the physician must also state the expected date of delivery. In the case of emergency abdominal surgery, the physician must describe the emergency.

(3) If an interpreter is provided, the interpreter must certify that he or she translated the
information and advice presented orally, read the consent form and explained its contents and to the best of the interpreter’s knowledge and belief, the individual to be sterilized understood what the interpreter told him or her.
Critical verbiage and procedures
As you can see from the above, there are a lot of “rules” to be followed.  However, the government has given us a standardized form to use and be implemented by the providers.  They have even given us an electronic type version that can be downloaded and filled in, or even filled in on-line.  This form can be found at   This government form is currently valid for use though 12/31/2018.  
The critical verbiage that must be followed closely is the mandate that “at least 30 days have passed between the date of the individual’s signature, and the date for when the sterilization is performed”.   If this is not followed closely, the physician and the facility/hospital will not be paid. 
This form is used across the United States, however, some State funded Medicaid programs may use their own form, but it has to contain the minimum information that has been outline in 42 CFR 50.205.  
When implementing the procedure to get this form completed correctly, all staff, and especially the physician/provider,  should be aware of its content and ensure that it is filled out correctly.   This seems like more government buracracy  however, if you are a Medicare/Medicaid provider this is part of the process we must perform to ensure the patient fully understands the implications of sterilization, and that as a patient they consent to the procedure.
ICD-10 diagnosing –  ICD-10 procedure – CPT procedure
In the post ICD-10cm and ICD-10pcs world things have changed for the coding and reimbursement for sterilization codes. 
In ICD-9cm we used code V25.2; Sterilization
In ICD-10cm we now use code Z30.2; Encounter for Sterilization
The codes are very similar, but in ICD-10cm they expanded the description to state that the usage of the code was for the encounter  for sterilization –  not just stating the word “sterilization” .    So for the diagnosing of sterilization procedures it remains straightforward for the diagnosis of the sterilization procedure.
However, that is not the same for ICD10pcs.  In ICD10pcs, the procedure of “vasectomy” is found in the index, and you’re referred to the code tables that provide the codeset for   a procedure performed on the male reproductive organ system.    The same can be said for the term  “tubal ligation”   as when you go to look it up the ICD-10pcs system as a tubal ligation, it refers you to the term “occlusion”  where as you view the index, you find  “Occlusion; Fallopian Tube; Left, Right, Bilateral”  and refers you to the table sections that are appropriate.   (see attached pages)  
CPT procedures have many different codes that can be used for “sterilization procedures”  so careful review of the operative reports to determine the correct code is a vital piece to ensuring your smooth reimbursement of sterilization procedures.
If you look in the CPT manual index, you will find the term for the “vasectomy”procedure, and CPT refers you to the numeric code of 55250.  In the CPT codeset the code 55250 is found in the surgery/male genital system section under Vas Deferens; Excision; then the code 55250 is the only code that appears in this subset.  If your provider does the traditional vasectomy procedure this is the correct code to use.  However, there have been newer and less invasive techniques for “vasectomy”  so code 55250 may not be the correct choice.   It is this new technology that requires coders to carefully review the operative note(s) to ensure the correct CPT code goes with the correct diagnosis. 
The same can be said for coding of sterilization for female patients.  In the CPT manual sterilization codes for female patients can range from a very simple to extremely complex invasive procedures.  CPT includes sterilization procedures that range from simple “incision” type procedure, and include codes for sterilization procedures that utilize  laparoscopic technique, hysteroscopic technique,  percutaneous incision, to abdominally open surgical procedures.  CPT even includes codes that factor in a sterilization performed at the time of delivery (with a cesarean section)  or even performed shortly after a vaginal delivery.
Diagnosis beyond “encounter for sterilization”
In cases where a sterilization is being performed, not all sterilization procedures are performed strictly for birth control.  Providers, clinical personnel, and coders all need to ensure that the coding and documentation for a sterilization procedure is clearly reflective of why the procedure is being performed.  Sterilization procedures may be required for a medically necessary or medically indicated diagnosis. 
If a sterilization procedure is needed by the patient, this does not absolve us from not getting the proper paperwork filled out. (eg the federal sterilization form, appropriate consents, pre-authorizations, and referrals)   In the case of a female patient requiring an emergent type of sterilization procedure, the 42 CFR 50.205 federal form allows for this circumstance in which the form still needs to be filled out, but the caveat of “emergency abdominal surgery” is noted on the form, and in the patients’ medical record.
When filling out the claim form for sterilization procedures that are not for contraceptive reasons, the medically necessary diagnosis would be appended first;  then any additional medically indicated symptoms or diagnoses, with the final code of  Z30.2; Encounter for Sterilization.  When sequenced, this paints the picture of a medically indicated procedure, and denotes that the patient is also rendered sterile.
Prior to sending your claim, take the time to review the sterilization form and review it has been filled out correctly,  all signatures and dates are correct and within the mandated guidelines.  If the form is incomplete, or incorrect take the time to make all necessary corrections, and get all necessary signatures. 
As you submit your claim, if it is an electronic claim, you may be required to submit a copy of the signed sterilization form, the operative report and also supporting medical records with your claim.  If you are still submitting your claim as hard copy, you will need to include these documents as hard copy.  
Final thoughts – wrap it up neatly
As a coder, you now have the unique opportunity to connect with your providers, clinical back office personnel, and your first line patient representatives to ensure that all the appropriate forms are filled out.  You can provide the education and the importance of the sterilization form,  and the importance of clear documentation to determine the reasons for the sterilization procedure. (eg, if done for “contraceptive or birth control” or “medically necessary/medically therapeutic” ).
If the sterilization procedure is denied for payment by the insurance carrier, review the denial code carefully, and if needed, contact the carrier to fully determine the cause of the denial.   If warranted, appeal your denial. 

For “male sterilization “ procedures performed in ICD-10 PCS

 … for female sterilization “tubal ligation” procedures in ICD-10 pcs

Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC and ICD10 cm/pcs Ambassador/trainer is an E&M, and Procedure based Coding, Compliance, Data Charge entry and HIPAA Privacy specialist, with over 20 years of experience.  Lori-Lynne’s coding specialty is OB/GYN office & Hospitalist Services, Maternal Fetal Medicine, OB/GYN Oncology, Urology, and general surgical coding.  She can be reached via e-mail at or you can also find current coding information on her blog site:   

Lori-Lynne’s Coding Coach Blog

Tips for Coding and Documenting for Bariatric Surgery in ICD-10pcs – Inpatient

This is from my HCPro article  published June 2016
In last weeks HCPro outpatient article we addressed tips for coding in the physician office, and the challenges with that side of medicine that affects both the physician and the physician office or group practice.   In this article, we are addressing the inpatient side. 
As discussed in the outpatient article, the disease of obesity is considered a major health problem In the US.  Unfortunately, the disease process of obesity continues to be a major risk factor for the diagnoses in many other diseases such as diabetes, hypertension, sleep apnea, arthritis, and many, many more.  Obesity is also medically associated with significant morbidity and mortality risk factors when any type of surgical or operative intervention(s), or even non-surgical hospitalization is necessary.
Most medical providers define and document obesity by the measurement of body mass index (BMI). The BMI is calculated by dividing a patient’s mass (kg) by his or her height (m2). A normal BMI is considered in the range of 18.5-24.9 kg/m2. A BMI of 25-29.9 kg/m2 is considered overweight. A BMI of 30 kg/m2 or greater is classified as obese; this classification is further subdivided into class I, II, or III obesity.  In ICD-10cm, obesity and BMI are now easily identifiable, and should be documented in the patients’ records when obesity is being treated as a stand-alone diagnosis, or as part of a diagnosis with other disease processes that are impacted by obesity.   The ICD-10 codes Z68.xx should be coded in addition to the diagnosis of obesity in the medical record and on your insurance claims
As we have been perfecting our ICD-10pcs coding skills with the ICD-10 tables;  Let’s take a quick look again at the basics of code construction. 
·         All ICD-10-PCS codes have seven digits, each digit representing a specific character associated with procedures.
·         Code assignment in ICD-10-PCS is a process of “constructing” the code by selecting values from the ICD-10 pcs code tables for each of the seven standard characters.
·         The first three characters identify the code table that is used to complete the remaining four characters.
The basics of bariatric ICD-10-pcs code selection
·         1: Section:  For bariatric procedures; the appropriate section is 0-Medical and Surgical.

·         2: Body System:  Bariatric procedures involve the stomach and intestines, so code tables need to be referenced from; D-Gastrointestinal System.

·         3: Root Operation:  When coding for the Root operation, in bariatric surgery, these are assigned according to the objective of the procedure.  There are standard definitions to be reviewed in ICD-10 for root operations.  When choosing the root operation, and the specific procedure that the physician is going to perform, there are three root operations that are most commonly used in bariatric coding.

1.       Bypass: Altering the root of passage for the contents of a tubular body part, eg, Roux-en-Y gastric bypass
2.       V-Restriction: Partially closing an orifice or the lumen of a tubular body part, eg, gastric banding
3.       B-Excision: Cutting out or off, without replacement, a portion of a body part, eg, sleeve gastrectomy

§  Note:  that because the procedure’s objective is the defining factor in assigning the root operation, some procedures that are not associated with bariatric coding may also use the same ICD-10-PCS code.

§  Note: The physician is not expected to document using ICD-10-PCS code descriptions. It is your responsibility as a coder to determine what the physician’s operative note documentation equates to in terms of ICD-10-PCS.  AHIMA has stated that coder is not required to query the physician in these circumstances.

·         4: Body Part:   In the respective ICD-10 pcs code tables the specific body part values that are available for you to choose from are for stomach, duodenum, and ileum.

·         5: Approach:  The approach used for the bariatric surgical procedures performed are:
o   Via laparotomy use 0-Open.
o   Via laparoscopy use 4-Percutaneous Endoscopic.

·         6: Device:  Interestingly in bariatric surgery, the device character is not used for surgical instruments that accomplish the procedure.  The device character is used to describe the devices that remain in the patient’s body after the procedure is completed.  (eg, implanted devices) 
o   For a Gastric banding procedures, the coder will use
§  C-Extraluminal Device because the band encircles the lumen of the stomach from the outside.
o   If you are coding other bariatric procedures,
§   Z-No Device is most common choice when coding.

·         7: Qualifier: Qualifiers add further information to the ICD-10pcs code choice.
o   For therapeutic procedures, the most common qualifier is Z-No Qualifier.
o   For bypass procedures, the qualifier identifies the body part being bypassed to
§  eg…  re-routing the digestive tract from the stomach directly to the ileum you would use the  uses the qualifier B-Ileum.
Operative Report #1 
Laparoscopic (Lap-Band) gastric band placement
The procedure consisted of laparoscopic placement of a gastric band (Lap-Band System), creating a proximal 15-mL pouch at the cardia.
The patient was positioned in an elevated recumbent position. The video monitor was located beyond the patient’s right shoulder.  Pneumoperitoneum was created using a Palmer-Veress needle. The 10-mm optical trocar was inserted first, 10 cm below the xiphoid notch. Then, three 10-mm cannulas were placed under the rib margin.  The fourth cannula on the left had a larger diameter (18 mm) to allow the introduction of the band. All cannulas were then shifted to the left when preoperative (re-review) ultrasound revealed an enlarged left liver lobe (>15 cm high) in the patient. A 10-mm liver retractor was inserted through a paraxiphoid cannula and the left lobe was elevated to expose the cardiac area and the diaphragmatic crus.
Gastric dissection started at the angle of the cardia by division of the phrenogastric ligament. We proceeded with the lap band procedure with a pars flaccida approach on the right side.  Dissection on the left side was identical to that performed on the right. Over the lesser omentum, we opened the peritoneal sheet close to the edge of the right crus, then gradually created a retrogastric tunnel reaching the left crus and the phrenogastric ligament. Thus avoiding tthe use of a balloon.  The band was secured by an anterior gastrogastric valve using four nonabsorbable seromuscular stitches.  This covered the anterior part of the band completely. A methylene blue dye test was carried out with no leaks detected.  The subcutaneous port components were then placed and verified as per our pre-operative marking.   Patient was taken to PACU in good condition. 
Coding Choices:
ICD-10pcs code: 0DV64CZ
Previous ICD-9 Vol 3:  44.95
CPT code: CPT Code: 43770 Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and subcutaneous port components

Now as we look at some of the coding options for an “open” and “laparoscopic’ bypass procedure you will note the same table is used, but they are 2 completely different codes as one is an “open procedure” the other is “laparoscopic”
• Gastric bypass from stomach to ileum, performed via laparotomy
0D160ZB Bypass stomach to ileum, open approach

• Gastric bypass from stomach to jejunum, performed via laparoscopy
0D164ZA Bypass stomach to jejunum, percutaneous endoscopic approach
Diagnosis coding for bariatric medicine and bariatric surgery requires not only the definitions of the obesity, but notation of BMI.  Most often the obesity diagnosis will remain as the primary reason for bariatric surgery, but any co-morbidities will also play into the DRG that will affect the reimbursement for the facility where the bariatric surgery is being performed.
According to AHIMA, they suggest including this into your medical records for the clinical documentation when referencing obesity and bariatric surgery:
• Obesity
                – Morbid (severe)
° Due to excess calories
° With alveolar hypoventilation (Pickwickian syndrome)
 – Drug Induced
° Document drug
 – Other ° Due to excess calories, familial, endocrine
• Overweight
• Body Mass Index (BMI)
• Document any associated diagnoses/conditions
o   Hypertension
o   Type II Diabetes Mellitus
o   Dyslipidemia
o   Musculoskeletal, neurological or body size problems precluding or severely impairing quality of life (employment, family function or ambulation)
o   Life-threatening Cardiopulmonary Problems (sleep apnea, obesity-hypoventilations syndrome or obesity-related cardiomyopathy)
o   Coronary Artery Disease
o   Obesity-Related Cardiomyopathy
As we can see from this table below of 2016 “estimated” DRG’s and reimbursements for facilities, a bariatric surgery can be very lucrative for your facility.  The DRG assignments will need to be carefully reviewed when coding out bariatric surgery to obtain the highest appropriate DRG’s. 
Currently, there has been an increase in private insurance companies covering bariatric surgical procedures if the patient meets the standard criteria for morbid obesity.  However, some carriers may not cover it at all, and it may be a self-pay only option for the patient.  Medicare has been one of the primary payers that have approved bariatric surgery, with the resulting off-set of better health for the patient, and a reduced risk of long-term medical complications from the co-morbidities.
Medical necessity plays a huge part in a patient being able to undergo a bariatric surgery.  If the patient is morbidly obese and has a body mass index (BMI) of 40 or higher an insurance carrier is more likely to approve or pre-authorize a surgery.  Another criteria that may be imposed, is if the patient has been obese for the past five years or longer, and has
attempted, under a physician’s care;  other methods of weight loss for at least two years. These may include behavior modification, psychological evaluations, in addition to specifically proven medically regulated diets such as “Optifast”  “Medifast”  or even drug therapies such as orlistat (Xenical), lorcaserin (Belviq), phentermine and topiramate (Qsymia), buproprion and naltrexone (Contrave), and liraglutide (Saxenda).  If the patient has comorbidities such as hypertension, diabetes, sleep apnea, degenerative arthritis, and heart disease that increase the consideration of medical necessity for surgery.
In addition there are some patients in which they would not qualify for bariatric surgery. Absolute contraindications to bariatric surgery are active substance abuse and psychiatric personality disorders.  In addition, previous abdominal surgeries or previous bariatric procedures that were ineffective are not necessarily contraindications, but the patient may not be approved for more extensive bariatric surgery.  Some studies have borne out that procedures which alter the size of the stomach and restrict food intake, may exacerbate some eating disorder.  If the patient has a history of a true anorexia nervosa, they are generally considered not eligible for bariatric surgery.
As a coder, good documentation from your providers in the H&P  help ensure you are able to clearly code and report the operative session(s), with the diagnosis of obesity and all additional diagnoses that are impacted by the obesity (medical necessity).  All of these criteria go hand in hand with good quality patient care and correct coding and billing of claims. By working closely with your providers, you can ensure good clean claims, and reduce your overall risk of audit inquiry and financial recoupment of paid claim services.

Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC and ICD10 cm/pcs Ambassador/trainer is an E&M, and Procedure based Coding, Compliance, Data Charge entry and HIPAA Privacy specialist, with over 20 years of experience.  Lori-Lynne’s coding specialty is OB/GYN office & Hospitalist Services, Maternal Fetal Medicine, OB/GYN Oncology, Urology, and general surgical coding.  She can be reached via e-mail at or you can also find current coding information on her blog site:   

Lori-Lynne’s Coding Coach Blog

Tips & Tricks For Passing An Exam

Exams are an essential part of life of any student, but still there are discussions over their necessity. Exams cause strain, various complications and make students feel nervous and worn out. But exams on the other hand are a good school of life. Nothing can be more helpful in the future than a recollection of your behaviour under pressure. The situation reminds about a typical exam. Exams stimulate students to study and though they do not keep this information in their heads for long, the impression will remain and be useful in the future. This article is to show all the possible ways to improve and implement to the process.

The exam is not a simple test of your knowledge; it is a test of you nerves, your self-confidence, your manners and your honesty. Passing an exam you have a possibility to create a sensation among committee members and get respect of classmates. This experience may lead you to successful future. Exams are much more difficult than any of the written assignments. During the exam you have to improvise, be prepared for additional questions. As you have already understood exams are not only about knowledge, but also about temper, willingness, manners and other skills that help you in communication. Use your imagination not to draw pictures of failure in your head, but to come up with something to favorably impress the committee. Calmness is your first armor. Calmly look at what you have in front of you. Study it carefully and should you have any questions, address the committee members. Work form the easiest to the most complicated. If you like to generalize and build your answer on facts, try to broaden the horizon of your answer by adding some details. Preparing for the exam, build your scheming strategy, dividing information onto sections and then making separate parts of the section so the information you are about to present is graphically represented. I good idea is to establish a plan for each of the answers and follow it in order to save time. If your biggest fear is to be mistaken, you might want to focus on each task and check it right after completion. Do not cross and double-cross the answers, your doubts are caused by pressure, develop confidence in what you say. You might also take a talisman with you to calm you down: some piece of spiritual significance to you. Be proud with what you have accomplished so far and do not let anybody make you feel uncertain. Never trust cheating or your neighbor, for such assistance you might get into big trouble. Better focus on your future plans and your intentions. If it is difficult for you to process large amounts of information, it is better to divide it into smaller pieces and learn systematically every day.

If you feel that you are well-prepared, you will fall in the sound sleep with no problems. Even if you omitted some of the details, there is no need to be stressed out, you might be lucky enough not to have to answer these questions. Behave naturally with no acting and insincerity. If you feel like you are getting lost in your own answer, this is quite time to gather thoughts together by looking away at the other point of focus and spend a second concentrating. There is no urgency in any of the exams, speed is not a virtue, but quality is. You have a fixed time for completing all the tasks and there is no need to turn the paper in beforehand. Make sure that you have answered everything and no editing is required. Proofread everything and only then you may consider your work to be finished. There is always a possibility of failure. No need to think that you are going to be a victim of it. If you are ready and confident, nothing is going to happen and success is guaranteed.

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Time Management Tips to Ace Your CPC Exam

While taking your CPC exam, it’s very important that you know the tactics of time management. If you don’t allot your time the proper way, your hard work will come to naught.

Read on for some time management tips to seal your chances at the CPC exam and take your medical coding career to new heights.

The CPC exam is divided into three sections – and it’s a known fact that to pass the exam, you need to go through each section.

What you shouldn’t do: Sometimes you could be really slow at the start and ace the first section. You could pass the second section too, but then fail in the last section due to lack of time.

What you should do: The exam is more about pass and fail and not about getting an A. Therefore, you need to divide your time and pass each section.

When you open your exam, you’ll find an answer grid with three columns comprising 50 questions each. Give yourself an hour for each column – a couple of hours for the one with the surgery questions. This means this’ll take up four hours of the 5.5 hour exam.

1) After four hours, scan your answer grid – which column has the most unanswered questions. At the outset, take some time on that column and then spread the rest of your time on your unanswered questions. This technique will boost your chances of having good number of rightly-answered questions in each section.

2) Remember that answering simple and easy medical terminology question carries as much weight as a time consuming surgical question.

3) Make it a point not to miss out on any question. Use the last 20 minutes of your exam time to take a guess at any unanswered question. There’s at least 25 percent possibility of getting it right even without looking at the question.

For further details on this and for other medical coding updates, sign up for a one-stop medical coding guide like Supercoder.

Whether it’s a powerful code reference tool, a real-time claims auditor to help you reduce denials or step-by-step guidance from CPC certified experts, we’ve got you covered. Some of our products like Physician Coding Bundle, Ambulatory Surgery Center (ASC) Authority, etc provide you with just the ammunition you need to get instant success.

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