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 complexity of the medical decision making
C.   The number of medical tests conducted
Question #3
What are some of the settings in which E&M services may be provided?
A.   Home services, laboratory services, and radiology services
B.   All of these
C.   Inpatient hospital services, outpatient facility services, and preventive medicine services
D.   Surgery services, anesthesia services, and pathology services
Question #4
What is Tenita the cyclist’s, reason for visiting her sports medicine physician?
A.   She has a chronic medical condition
B.   She needs a routine check-up
C.   She fell from her bike
Question #5
What do E&M codes represent?
A.   Medications
B.   Procedures
C.   Visits and services related to evaluating and managing patient health
D.   Radiology services
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 patient's age
C.   The complexity of the medical decision making
D.   The number of diagnoses made
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 physician
C.   The insurance company
D.   The patient
Question #8
Why is it important to determine whether a patient is an established patient or a new patient?
A.   It helps the insurance company determine the patient's coverage
B.   It affects the E&M code that is assigned for the visit
C.   It does not affect the E&M coding process
D.   It helps the physician determine the appropriate treatment plan
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.   2 years
C.   1 year
D.   3 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.   NO
B.   YES
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.   Medical decision making
B.   Complexity of the medical decision making
C.   Time spent with the patient
D.   Age of the patient
Question #13
What level of service did Tenita's physician document for her visit?
A.   Level 3
B.   Level 2
C.   Level 1
D.   Level 4
Question #14
What type of healthcare professional did Tenita the cyclist see for her assessment and treatment?
A.   Primary care physician
B.   Dermatologist
C.   Cardiologist
D.   Sports medicine physician
Question #15
What is the purpose of identifying a patient as an established patient versus a new patient in E&M coding?
A.   To track patient history over time
B.   To ensure accurate coding and appropriate reimbursement
C.   To determine the type of treatment they need
D.   To prioritize their care

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