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.   99500 through 99699
B.   99202 through 99499
C.   99201 through 99399
Question #2
What determines the level of service provided in E&M coding?
A.   The complexity of the medical decision making
B.   The location of the patient
C.   The number of medical tests conducted
Question #3
What are some of the settings in which E&M services may be provided?
A.   All of these
B.   Surgery services, anesthesia services, and pathology services
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 needs a routine check-up
B.   She has a chronic medical condition
C.   She fell from her bike
Question #5
What do E&M codes represent?
A.   Procedures
B.   Radiology services
C.   Visits and services related to evaluating and managing patient health
D.   Medications
Question #6
What factors are considered to determine the level of service provided for E&M coding?
A.   The number of diagnoses made
B.   The amount of paperwork involved
C.   The complexity of the medical decision making
D.   The patient's age
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 does not affect the E&M coding process
B.   It helps the physician determine the appropriate treatment plan
C.   It helps the insurance company determine the patient's coverage
D.   It affects the E&M code that is assigned for the visit
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.   1 year
B.   6 months
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.   DRG manual
C.   ICD-10-CM code book
D.   CPT code book
Question #12
Which of the following is NOT a factor considered when determining the level of service for E&M coding?
A.   Age of the patient
B.   Complexity of the medical decision making
C.   Medical decision making
D.   Time spent with the patient
Question #13
What level of service did Tenita's physician document for her visit?
A.   Level 3
B.   Level 2
C.   Level 4
D.   Level 1
Question #14
What type of healthcare professional did Tenita the cyclist see for her assessment and treatment?
A.   Sports medicine physician
B.   Cardiologist
C.   Dermatologist
D.   Primary care 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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