MOA 193 - Current Procedural Term Coding » Spring 2023 » Digital Review & Assignment 5

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Question #1
What is the range of E&M codes?
A.   99201 through 99399
B.   99202 through 99499
C.   99500 through 99699
Question #2
What determines the level of service provided in E&M coding?
A.   The location of the patient
B.   The number of medical tests conducted
C.   The complexity of the medical decision making
Question #3
What are some of the settings in which E&M services may be provided?
A.   Surgery services, anesthesia services, and pathology services
B.   All of these
C.   Inpatient hospital services, outpatient facility services, and preventive medicine services
D.   Home services, laboratory services, and radiology services
Question #4
What is Tenita the cyclist’s, reason for visiting her sports medicine physician?
A.   She fell from her bike
B.   She has a chronic medical condition
C.   She needs a routine check-up
Question #5
What do E&M codes represent?
A.   Medications
B.   Radiology services
C.   Procedures
D.   Visits and services related to evaluating and managing patient health
Question #6
What factors are considered to determine the level of service provided for E&M coding?
A.   The amount of paperwork involved
B.   The number of diagnoses made
C.   The patient's age
D.   The complexity of the medical decision making
Question #7
Who is responsible for assigning the appropriate E&M code based on the guidelines provided in the CPT code book?
A.   The medical coder-biller
B.   The patient
C.   The physician
D.   The insurance company
Question #8
Why is it important to determine whether a patient is an established patient or a new patient?
A.   It helps the physician determine the appropriate treatment plan
B.   It helps the insurance company determine the patient's coverage
C.   It affects the E&M code that is assigned for the visit
D.   It does not affect the E&M coding process
Question #9
How long must it have been since a patient's last face-to-face encounter with a physician or qualified healthcare professional to be considered a new patient?
A.   6 months
B.   1 year
C.   3 years
D.   2 years
Question #10
Can a patient be considered an established patient if they received care from another physician or healthcare professional within the same specialty and subspecialty in the same group practice?
A.   YES
B.   NO
Question #11
Where is the decision tree used to determine if a patient is an established patient or a new patient found in?
A.   HCPCS code book
B.   CPT code book
C.   ICD-10-CM code book
D.   DRG manual
Question #12
Which of the following is NOT a factor considered when determining the level of service for E&M coding?
A.   Time spent with the patient
B.   Medical decision making
C.   Age of the patient
D.   Complexity of the medical decision making
Question #13
What level of service did Tenita's physician document for her visit?
A.   Level 3
B.   Level 1
C.   Level 2
D.   Level 4
Question #14
What type of healthcare professional did Tenita the cyclist see for her assessment and treatment?
A.   Dermatologist
B.   Sports medicine physician
C.   Primary care physician
D.   Cardiologist
Question #15
What is the purpose of identifying a patient as an established patient versus a new patient in E&M coding?
A.   To prioritize their care
B.   To determine the type of treatment they need
C.   To track patient history over time
D.   To ensure accurate coding and appropriate reimbursement

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