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Certification of CPC-H and -P??

  1. Default Certification of CPC-H and -P??
    Medical Coding Books
    Do you go through a different course than CPC, to take the CPC-H and
    CPC-P? Do we just get those study guides and then register for the test or what? AND have y'all heard rather or not we have to get re-certified when ICD-10 comes out?

    Amanda, CPC
    Urology coder

  2. #2
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    Columbia, MO
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    I do not know about the course as I did not take one, I knoe the study guides were very different when I took the test. Yes you will need to re-certify for ICD-10 this is posted on the AAPC web site. You will be required to take an on-line exam, and you will be given 2 years to pass.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Default Morgan
    Quote Originally Posted by AmandaW View Post
    Do you go through a different course than CPC, to take the CPC-H and
    CPC-P? Do we just get those study guides and then register for the test or what? AND have y'all heard rather or not we have to get re-certified when ICD-10 comes out?
    If you took the coding courses you should be able to take any of the test. The tests are different because of the modifiers.

  4. #4
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    It is not just the modifiers, the CPC-H has a section on chargemaster and the application and meaning of revenue codes, also the E&M is completely different. I tell people that if you have never worked in an outpaient setting and do not know what the chargemaster is or does then the exam will have questions which you may find difficult if not impossible to answer.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Default CPC-H and CPMA
    Deb, I am hoping to take the CPC-H exam in the fall and I loved the info you just gave Amanda. I took the course for the CPC exam years ago but I do have the CPC-H study guide. Do you have any more info that might be helpful for me for the exam? I work at a very small rural CAH and I have been here for 5 years. I do the coding for everything here so I know a little about a lot, if you know what I mean. It's the critical access part that scares me when it comes to the exam. Also, if you don't mind me asking your advice on something else....I am considering taking the NAMAS 2 day workshop in order to become CPMA certified. My hospital won't pay for it (as we are barely bankrupt and trying to hang on to our jobs as it is) so I would have to pay for it myself. They have also told me that I am not eligible for a raise of any type for at least 9 months. Do you think I should do it anyway? I want the extra info for myself in order to become a more well rounded coder, but I am torn because I also think that if I am going to go through all of that and pay myself, then I should be rewarded financially accordingly. Am I hoping too high? Should I just do it anyway? I only ask you because after seeing your posts for so long, I trust your instinct.

  6. #6
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    Thank You Leslie for your vote of confidence. If you have been working outpatient for awhile then the exam should not be a problem. You need to know the UB04 fields and the information they require. Especially the condition codes and how that affects the payment. There was an entire section on my exam that had very detailed questions about the chargemaster and its role also how coding fits into the whole picture in a facility setting, in otherwords what do the other departments do and how does that affect the UB04. The critical access part I do not recall being an issue. Just remember that the coding is the same, the critical access has to do with the reimbursement. You may need to know how many beds it takes to qualify for critical access, I do recall some questions along that line, so knowing the difference between critical access, rural access, FQHC, and acute care, in terms of how do they qualify for that title. For me the exam was just another day at the office so to speak, all of the questions were compeletly relevant to my job. Since you work in critical access however you may want to study up on APCs (OPPS), That was a big deal on my exam. You need to know all about the outpatient code editor (OCE) and what it does. That is what I remember as the highlights. The medical terminology section is not as easy as you may think, some of the terms they came up with were pretty obscure. However I used my ICD-9 book on a couple and found the term in the alpha and then from the tabular I was able to figure out the body part and ultimately the definition.
    From what you have said, if it were me I would go for the CPC-H cert for now, with that then you may be able to pick up some remote coding as it makes you more marketable to have hospital and physician certs. Then I would maybe consider waiting for ICD-10 CM for the auditing portion. This will give you time to start now preparing for ICD-10 CM and be the first one out of the gate with that credential for auditing which will be even more valuable. I do not see the critical access hospital wanting to pay more because you have CPMA, they should however be encouraging the CPC-H and be willing to give a pay increase. I think you should be well rounded as a coder, but with a new code set just around the corner it might be wise to wait for some certifications. I hope this helps in some way, good luck on the exam and let me know if you need anything else.

    Debra A. Mitchell, MSPH, CPC-H

  7. #7
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    Thanks so much for your advice. I think I will take the CPC-H exam this fall, then, and give it my best shot. That terminology part is a great idea. Very clever..lol! I have been doing some research about OPPS but as it does not apply to us here, it is hard to know what is relevant and how to apply it to coding, same with the OCE. My 3M software still shows the OPPS edits but they have little meaning to me thus far in my coding career. I have little knowledge about the billing part as well, as we don't get much feedback from our billing department here. It is based at another site an hour away. The UB04 I am trying to learn on my own but I could use some help with that adn condition codes. The chargemaster, I have a basic understanding of but the one we have here is is just now being "re-created" and they are having many issues with it. I am familiar with the revenue cycle and how it all fits together but I definitely could use some work on the OPPS and OCE end of it. Can you recomend any sites that might be helpful in that? I have been surfing around the CMS website and have found some great stuff but a lot of it is very "wordy" and I really need something that will help me tie it all together, as you said, but I could really use a better resource if you know of any. Again, thanks so much for your input. It means a lot to me and really helped me make a decision on what to do.

  8. #8
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    I will look up some things and PM you you with some links. I think your decision is a good one and will serve you well. There is a great CMS transmittal on the OCE which is packed with info not only on the OCE but also on OPPS in general, I will find the link and send to you. Also the UB04 manual which I have laying around on my desktop somewhere, is very good. I will find the link for that as well.

    Debra A. Mitchell, MSPH, CPC-H

  9. #9
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    Wow, thanks so much!! It is very much appreciated!!

  10. Default
    Debra, if there are so many different factors with the CPC-H as far as the things that you mentioned, where do we go to learn that information? I tried to teach MYSELF for the CPC exam and ordered the study guide but I missed out on so much fundamental information and failed the test initially, but then took a local instructor's course and passed first time around after taking that 3 month course. I remember briefly touching the revenue codes and all that, maybe I need to look back at my workbook from the class and see if I can find info about that.

    Amanda, CPC
    Urology coder

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