A.   5

B.   4

C.   2

D.   3

A.   counseling, coordination of care, presenting problem, and time

B.   Medicare Administrative Contractors and private payers

C.   resources used by a physician to provide care to a patient

D.   the patient's history, examination, and medical decision making

A.   to self-determine which set of guidelines to follow

B.   to provide care to a patient

C.   to assign the appropriate E&M code

D.   to avoid confusion

A.   the patient's history, examination, and medical decision making

B.   counseling, coordination of care, presenting problem, and time

C.   portions of the 1995 and 1997 Documentation Guidelines

D.   Medicare Administrative Contractors and private payers

A.   the 1995 and 1997 Documentation Guidelines

B.   the 1995 and 2005 Documentation Guidelines

C.   the 1997 and 2007 Documentation Guidelines

D.   the 1995 and 1998 Documentation Guidelines

A.   to avoid confusion

B.   to provide care to a patient

C.   to assign the appropriate E&M code

D.   to specify that portions of the 1995 and 1997 guidelines could be combined

A.   1-2

B.   6-8

C.   9-10

D.   3-5

A.   to reflect diversity in each healthcare professional's skills, knowledge, and effort

B.   to provide a range of options for patients

C.   to ensure accurate coding

D.   to avoid linkage to fraudulent practices and behaviors

A.   the patient's insurance coverage

B.   how complex and detailed the medical encounter is

C.   how much time the physician spends providing the service

D.   how much time the patient spends with the physician

A.   Both

B.   Neither one of the options

C.   An individual who has not received any professional face-to-face services from the physician or qualified healthcare professional providing the current E&M service within the preceding three years

D.   An individual who has received professional face-to-face services within the last three years from the physician or qualified healthcare professional who is currently providing E&M services

A.   An individual who has received professional face-to-face services within the last three years from the physician or qualified healthcare professional who is currently providing E&M services

B.   An individual who has not received any professional face-to-face services from the physician or qualified healthcare professional providing the current E&M service within the preceding three years

C.   Both

D.   Neither one of the options

A.   All of the reasons listed apply

B.   To avoid audits and investigations

C.   To generate reliable data for healthcare analysis

D.   To ensure healthcare providers receive appropriate reimbursement

A.   75%

B.   25%

C.   50%

D.   10%

A.   Underpayment

B.   Denial of reimbursement

C.   All of the reasons listed apply

D.   Overpayment

A.   All of the reasons listed apply

B.   By enabling the collection and comparison of data between different providers and organizations

C.   By identifying trends and patterns over time

D.   By providing an accurate record of the level of care delivered to each patient