Glendale Community College » Medical Office Administration » MOA 193 - Current Procedural Term Coding » Spring 2023

MOA 193 - Current Procedural Term Coding » Spring 2023 » Weekly Assignment 2

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Question #1

Most categories of E/M services are further divided into two or more subcategories of services:

A. False

B. True

Question #2

E&M coding and documentation rules impact accurate physicians billing. For this reason, several different components of the E&M service have to be taken into consideration by the coder to ensure faultless coding. The seven CORECT components of E/M services are:

A. Examination, Counseling, Coordination of Care, Nature of Presenting Problem ,Time

B. Inspection, Palpation, Percussion, Auscultation, Neurologic Examination

C. History, Examination, Medical Decision-Making Complexity, Counseling, Coordination of Care, Nature of Presenting Problem ,Time

D. Assessment, Diagnosis, Planning, Implementation, Evaluation

Question #3

Time is part of the code descriptor for emergency department services.

A. True

B. False

Question #4

It is not possible for a patient receiving professional services from a subspecialist within the same medical group to be considered a new patient to another physician in the group.

A. False

B. True

Question #5

If subspecialists within the same group practice have separate tax identification numbers than the general medical group tax identification number, any patient receiving professional services from any of the subspecialist may be considered a new patient.

A. False

B. True

Question #6

There are rare circumstance where add-on codes may be used /submitted without its primary code?

A. False

B. True

Question #7

Identify the correct code set for prolonged service with direct patient contact and care:

A. 99358-99359

B. 99354-99357

C. 99415-99416

D. 99358

Question #8

Identify the correct code set used to report prolonged services without direct patient contact in either the inpatient or outpatient setting.

A. 99360

B. 99358-99359

C. 99354-99357

D. 99415-99416

Question #9

Identify the correct code set for an E/M services involving prolonged face-to-face time provided by a clinical staff (none QHP) beyond the typical face-to-face time of the E/M service

A. 99360-99362

B. 99415-99416

C. 99354-99357

D. 99358-99359

Question #10

A QHP on standby is allowed to report a standby service code if the period of standby ends with their performance of a procedure being a part of a surgical package.

A. True

B. False

Question #11

Case management is defined as a process in which a qualified health professional is responsible for:

A. Directly caring for a patient, coordinating and managing access to health care services needed by the patient, followed by initiating and/or supervising other health care services needed by the patient

B. Directly, indirectly, or overseeing the care for patients, coordinating and managing access to health care services needed by the patients, followed by initiating and/or supervising other health care services needed by the patients

C. Directly or indirectly providing a variety of services from diverse disciplines in conjunction with the care recipient, to maximize patient outcomes

Question #12

Identify code sets intended to describe the outpatient management of warfarin therapy.

A. 99363-99364

B. 99354-99357

C. 99415-99416

D. 99374-99375

Question #13

All codes are time based and used to report the complexity and approximate time of the care plan oversight services provided within a 15-day period.

A. True

B. False

Question #14

Only one individual may report care plan oversight services for a given period of time to reflect the sole or predominant supervisory role that involved regular care oversight of the patient.

A. True

B. False

Question #15

Preventive medicine services are based on:

A. evaluation and management of new patients

B. evaluation and management of a unhealthy patient

C. evaluation and management of a healthy patient

D. evaluation and management of new patient

Question #16

Codes in this subsection are used to report E/M services provided to normal newborns (birth through the first 28 days) in several different settings.

A. the newborn care services subsection (99221-99233

B. the newborn care services subsection (99291-99292

C. newborn care services subsection (99460-99463)

D. the newborn critical care services subsection (99466-99469)

Question #17

Pediatric critical care patient transport codes 99466 and 99467 are time- based codes reported for pediatric patients (24 months of age or younger)

A. True

B. False

Question #18

The inpatient neonatal critical care codes (99468, 99469) are used to report services provided by a physician/QHP who directs the inpatient care of a critically ill neonate or infant 28 days of age or younger

A. False

B. True

Question #19

Since the American Medical Association (AMA) determines payers’ reimbursement policies; some payers may allow QHPs who may report E/M services to report E/M codes.

A. False

B. True

Question #20

Neonatal intensive care codes include the same procedures bundled in the services of neonatal and pediatric critical care codes.

A. False

B. True

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