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week 6 Quiz answers

Terms in this set (30)

There are __________ elements of determining history level for evaluations and management coding.
4
The key components of selecting the level of service are ____________, ___________ and ____________.
history, examination and medical decision making
Which term is associated with outpatient services and represents the time a physician spends with the patient obtaining history, providing the examination, and discussion the findings and plan?
Direct time
Which of the following physician work may NOT be included in reporting critical care?
Work that occurs outside the unit or off the floor
The Evaluation and Management codes were first developed in ___________.
1992
________________ is the provision of medical care to a critically ill or injured patient.
Critical care
The services of a physician who is responsible for direct care of a patient but is also coordinating and controlling the patient's health care services in team conferences or telephone calls are called ______________.
Case management services
The evaluations and management categories are all EXCEPT ______________.
Pharmacy Services
Which is NOT one of the factors used in determining level of service for E/M codes?
Physician credentials
In the evaluations and management coding, the history of present illness or HPI includes the following elements EXCEPT:
Preventive care
Patient who has not received a professional service from the physician or another physician of the same specialty in the same group within a three-year period is called __________.
a new patient
The evaluations and management subcategories are all of the following EXCEPT ____________.
History
____________ describes the information a physician collects from examining the patient.
Examination
The ___________ is a brief statement describing the symptoms, problem, condition, diagnosis and reason for the patient visit.
chief complaint
The services of a physician who has been asked to give an opinion or advice on a patient are called _______________.
Consultation
If a patient has not received professional services from the physician within three years, they are a ____________ patient.
new
In determining the level of examination, the detailed exam requires ____________________.
extended exam of affected body area
Examination is considered ______________.
objective
Systematic, logical, and consistent recording of a patient's health status—history, examinations, tests, results of treatments, and observations—in chronological order in a patient medical record is called ______________.
documentation
To rate the level of MDM, which is NOT considered?
The amount of time the physician spends with the patient
Which is NOT a category of critical care services?
Emergency department services
When coding evaluations and management codes for determining level of history, problem-focused requires ______________.
chief complaint and brief history
Which is not a level of service (LOS)?
Non Problem focused (NPF)
All of the following are components that are considered contributory components in evaluations and management coding EXCEPT:
Patient history
The evaluations and management codes of the CPT manual are located at the ____________.
beginning
Patient who has received a professional service from the physician or another physician of the same specialty in the same group within three years is _______________.
an established patient
The evaluations and management codes of the CPT manual are used to ____________.
generate revenue
If the patient was referred for care, the patient is considered __________________.
A new patient
Payment criterion that requires medical treatments to be appropriate and to be provided in accordance with generally accepted standards of medical practice. To be medically necessary, the reported procedure or service must match the diagnosis, be provided at the appropriate level, not be elective, not be experimental, and not be performed for the convenience of the patient or the patient's family is called _____________.
medical necessity
When coding evaluations and management codes for determining level of history, expanded problem-focused requires ______________.
Chief complaint, brief history and problem-pertinent system review
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