E/M Week 2 Quiz – Flashcards
Unlock all answers in this set
Unlock answersquestion
These elements would be part of the_____ history: employment, education, use of Drugs.
answer
Social
question
The level of E/M service is based on:
answer
Key components
question
The HPI must be documented in the medical record by:
answer
the physician
question
The observation examination is the ___ portion of the E/M service?
answer
objective
question
MDM is based on the ____ the physician must consider about the management of a patient's condition.
answer
All of the above
question
The Hospital Inpatient Services subsection is used for patients admitted to:
answer
An acute care facility
question
The request for advice or opinion from one physician to another physician is this type of service:
answer
consultation
question
Critical care codes are reported based on:
answer
Time
question
Codes from the E?M subsection Nursing Facilities Service are used to report services provided in nursing facilities that used to be known as:
answer
Skilled nursing facility
question
When a physician performs a preventive care service, the extent of the exam is determined by the:
answer
Age
question
According to E/M guidelines a(n)___ exam encompasses a complete single-specialty exam or a complete multisystem exam.
answer
comprehensive
question
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?
answer
Detailed
question
The Physician performs an extended exam of the affected body areas and related organ systems. What is the level of the exam?
answer
Expanded Problem Focused
question
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?
answer
Moderate
question
What CPT code is assigned to an ED service that has a detailed history and exam with a moderate level of MDM?
answer
99284
question
The term used to describe a patient who has NOT been formally admitted to a health care facility is_______
answer
Outpaient
question
The definition of low birth weight can be found in the notes for subheading
answer
Int'l con't intensive care service
question
An initial inpatient consulation with a detailed history, detailed exam and MDM of low complexity.
answer
99253
question
A 40 year-old est. patient presents to the physician office for a preventive care exam
answer
99396
question
History and Exam of the normal newborn infant born in a hospital setting?
answer
99460
question
Complete the following blanks that refer to the three factors that the coder must consider in the assignment _____ of service, _____ of service, ______ status
answer
POS, Type, patient
question
The code range for Home Service is _______
answer
999341-99350
question
The four types of patient status are____. ____, ______ and _____
answer
New, Est. Inpatient, Outpatient
question
Matching: Location
answer
Chest
question
Matching: Quality
answer
Tightness
question
Matching: Severity
answer
worst I've ever had
question
Matching: Duration
answer
since last night
question
Matching: Timining
answer
continous
question
Matching: Context
answer
on exertion
question
Matching: Modifying factors
answer
some relief with rest
question
Matching: Associated signs and systems
answer
some shortness of breath
question
The most extensive examination that encompasses a complete single specialty examination or complete multisystem examination is___________
answer
Comprehensive
question
Examination is limited to the affect body area or organ system and other related organ system is________
answer
Expanded Problem Focused
question
Examination is limited to the affected body area or organ system identified by the chief complaint is _______
answer
Problem-Focused
question
An extended examination of the affected body area or areas and related organ system(s) is____
answer
Detailed
