So now we’re going to get into our first content question and this came from… I forget who asked it but they wanted to know about the medical practice management questions that are on the CPC exam. “So my problem area was practice management/coding guidelines. Can you help me for the retake?”
Medical Practice Management Video
So I looked up some information. Now I had actually emailed the AAPC to find out what it basically contained and this is what they told me that the practice management questions are basically a hodgepodge of a lot of general things. This is actually me talking right now. I normally recommend that you read the introduction to all 3 of your coding manuals. There’s a lot of hidden gems in there that they like to put in on this section. From the email from AAPC, the 6 practice management questions on the exam are reimbursement and regulatory in nature. They are very general questions which any person in this profession will have to know and deal with at one point or another in their work. So they’re not straight up coding issues but they’re you know, how coding fits into the whole healthcare reimbursement landscape and these questions are related to that.
So these would be topics such as the following but are not limited to: understanding the different types of payer. You know, Medicare is the major one and you have private payers. Provider hierarchy you know, how you have physicians and you have physician extenders like physician assistants and nurse practitioners. Understanding the resource-based relative value system… and it’s not understanding it to like the nth degree but having a general overarching understanding of how it works. How do RVUs work? – Relative Value Units. What is medical necessity? The basic structure of the Medicare program and you know, all the different you know, parts, A, B, C, and D they even have. A basic understanding of managed healthcare. What is the federal register? What is HIPAA, Fraud and Abuse, Privacy and Security, the OIG workplan… that’s the office of the… general inspector,
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