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.   99500 through 99699
C.   99202 through 99499
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.   Home services, laboratory services, and radiology services
B.   All of these
C.   Surgery services, anesthesia services, and pathology services
D.   Inpatient hospital services, outpatient facility services, and preventive medicine 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 fell from her bike
C.   She needs a routine check-up
Question #5
What do E&M codes represent?
A.   Procedures
B.   Visits and services related to evaluating and managing patient health
C.   Radiology services
D.   Medications
Question #6
What factors are considered to determine the level of service provided for E&M coding?
A.   The patient's age
B.   The number of diagnoses made
C.   The amount of paperwork involved
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 patient
B.   The insurance company
C.   The physician
D.   The medical coder-biller
Question #8
Why is it important to determine whether a patient is an established patient or a new patient?
A.   It affects the E&M code that is assigned for the visit
B.   It helps the physician determine the appropriate treatment plan
C.   It does not affect the E&M coding process
D.   It helps the insurance company determine the patient's coverage
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.   2 years
C.   6 months
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.   ICD-10-CM code book
B.   HCPCS code book
C.   CPT 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.   Complexity of the medical decision making
B.   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 4
B.   Level 1
C.   Level 3
D.   Level 2
Question #14
What type of healthcare professional did Tenita the cyclist see for her assessment and treatment?
A.   Primary care physician
B.   Sports medicine physician
C.   Dermatologist
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 ensure accurate coding and appropriate reimbursement
B.   To prioritize their care
C.   To track patient history over time
D.   To determine the type of treatment they need

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