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 complexity of the medical decision making
B.   The number of medical tests conducted
C.   The location of the patient
Question #3
What are some of the settings in which E&M services may be provided?
A.   Inpatient hospital services, outpatient facility services, and preventive medicine services
B.   All of these
C.   Home services, laboratory services, and radiology 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 needs a routine check-up
B.   She fell from her bike
C.   She has a chronic medical condition
Question #5
What do E&M codes represent?
A.   Radiology services
B.   Medications
C.   Visits and services related to evaluating and managing patient health
D.   Procedures
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 insurance company
C.   The physician
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 does not affect the E&M coding process
C.   It helps the physician determine the appropriate treatment plan
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.   2 years
B.   6 months
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.   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.   DRG manual
B.   CPT code book
C.   ICD-10-CM code book
D.   HCPCS code book
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.   Complexity of the medical decision making
C.   Medical decision making
D.   Age of the patient
Question #13
What level of service did Tenita's physician document for her visit?
A.   Level 1
B.   Level 4
C.   Level 3
D.   Level 2
Question #14
What type of healthcare professional did Tenita the cyclist see for her assessment and treatment?
A.   Cardiologist
B.   Dermatologist
C.   Sports medicine physician
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 ensure accurate coding and appropriate reimbursement
B.   To determine the type of treatment they need
C.   To prioritize their care
D.   To track patient history over time

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