A.   5

B.   2

C.   3

D.   4

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

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

C.   Medicare Administrative Contractors and private payers

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

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

B.   to assign the appropriate E&M code

C.   to avoid confusion

D.   to provide care to a patient

A.   Medicare Administrative Contractors and private payers

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

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

D.   portions of the 1995 and 1997 Documentation Guidelines

A.   the 1995 and 2005 Documentation Guidelines

B.   the 1995 and 1997 Documentation Guidelines

C.   the 1995 and 1998 Documentation Guidelines

D.   the 1997 and 2007 Documentation Guidelines

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

B.   to avoid confusion

C.   to provide care to a patient

D.   to assign the appropriate E&M code

A.   3-5

B.   6-8

C.   1-2

D.   9-10

A.   to provide a range of options for patients

B.   to avoid linkage to fraudulent practices and behaviors

C.   to ensure accurate coding

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

A.   how complex and detailed the medical encounter is

B.   how much time the physician spends providing the service

C.   how much time the patient spends with the physician

D.   the patient's insurance coverage

A.   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

B.   Neither one of the options

C.   Both

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.   Both

B.   Neither one of the options

C.   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

D.   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

A.   To generate reliable data for healthcare analysis

B.   All of the reasons listed apply

C.   To avoid audits and investigations

D.   To ensure healthcare providers receive appropriate reimbursement

A.   50%

B.   25%

C.   75%

D.   10%

A.   Underpayment

B.   All of the reasons listed apply

C.   Denial of reimbursement

D.   Overpayment

A.   All of the reasons listed apply

B.   By identifying trends and patterns over time

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

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