|
These elements would be part of the_____ history: employment, education, use of Drugs. |
Social |
|
The level of E/M service is based on: |
Key components |
|
The HPI must be documented in the medical record by: |
the physician |
|
The observation examination is the ___ portion of the E/M service? |
objective |
|
MDM is based on the ____ the physician must consider about the management of a patient’s condition. |
All of the above |
|
The Hospital Inpatient Services subsection is used for patients admitted to: |
An acute care facility |
|
The request for advice or opinion from one physician to another physician is this type of service: |
consultation |
|
Critical care codes are reported based on: |
Time |
|
Codes from the E?M subsection Nursing Facilities Service are used to report services provided in nursing facilities that used to be known as: |
Skilled nursing facility |
|
When a physician performs a preventive care service, the extent of the exam is determined by the: |
Age |
|
According to E/M guidelines a(n)___ exam encompasses a complete single-specialty exam or a complete multisystem exam. |
comprehensive |
|
Mr. Smith presents to the Emergency Department at the local hospital for chest pain and is seen by the ED physician on duty. The physician obtains an extended HPI, an extend ROS, and a pertinent PFSH. What is the level of History? |
Detailed |
|
The Physician performs an extended exam of the affected body areas and related organ systems. What is the level of the exam? |
Expanded Problem Focused |
|
The physician must consider multiple diagnoses and management options. There is a moderate amount of data to be reviewed and the risk of complications or death is moderate. What is the level of MDM? |
Moderate |
|
What CPT code is assigned to an ED service that has a detailed history and exam with a moderate level of MDM? |
99284 |
|
The term used to describe a patient who has NOT been formally admitted to a health care facility is_______ |
Outpaient |
|
The definition of low birth weight can be found in the notes for subheading |
Int’l con’t intensive care service |
|
An initial inpatient consulation with a detailed history, detailed exam and MDM of low complexity. |
99253 |
|
A 40 year-old est. patient presents to the physician office for a preventive care exam |
99396 |
|
History and Exam of the normal newborn infant born in a hospital setting? |
99460 |
|
Complete the following blanks that refer to the three factors that the coder must consider in the assignment _____ of service, _____ of service, ______ status |
POS, Type, patient |
|
The code range for Home Service is _______ |
999341-99350 |
|
The four types of patient status are____. ____, ______ and _____ |
New, Est. Inpatient, Outpatient |
|
Matching: Location |
Chest |
|
Matching: Quality |
Tightness |
|
Matching: Severity |
worst I’ve ever had |
|
Matching: Duration |
since last night |
|
Matching: Timining |
continous |
|
Matching: Context |
on exertion |
|
Matching: Modifying factors |
some relief with rest |
|
Matching: Associated signs and systems |
some shortness of breath |
|
The most extensive examination that encompasses a complete single specialty examination or complete multisystem examination is___________ |
Comprehensive |
|
Examination is limited to the affect body area or organ system and other related organ system is________ |
Expanded Problem Focused |
|
Examination is limited to the affected body area or organ system identified by the chief complaint is _______ |
Problem-Focused |
|
An extended examination of the affected body area or areas and related organ system(s) is____ |
Detailed |
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