A.   To justify reimbursement for billed services from insurance companies

B.   All of the reasons listed apply

C.   To track a patient's progress over time and make informed decisions about their treatment plan

D.   To comply with regulations and ensure accurate billing practices

A.   The actual time spent performing the service or procedure on a patient

B.   The time spent coordinating care and counseling the patient

C.   The total time spent on the date of the encounter

D.   The typical amount of time spent on the service level

A.   When key components of the service provided are met

B.   When counseling and coordination of care dominate the visit

C.   When documentation is unclear or incomplete

D.   When intraservice times exceed typical time ranges

A.   The applicable guidelines

B.   The insurance company's reimbursement policies

C.   The patient's medical history

D.   The physician's notes

A.   The duration of time the physician spends with the patient and their family, including history-taking, examination, and counseling.

B.   The time spent on pre- and post-encounter activities.

C.   The duration that the physician spends providing services for the patient while being present on the patient's facility unit and at the patient's bedside.

D.   The time the physician spends reviewing records and tests or arranging further services for the patient.

A.   The time the physician spends reviewing records and tests or arranging further services for the patient.

B.   The duration that the physician spends providing services for the patient while being present on the patient's facility unit and at the patient's bedside.

C.   The duration of time the physician spends with the patient and their family, including history-taking, examination, and counseling.

D.   The time spent on pre- and post-encounter activities.

A.   When the physician spends more than 50% of the time arranging further services for the patient.

B.   When history and exam components are not documented.

C.   When the physician spends more than 50% of the time reviewing records and tests.

D.   When counseling, coordination of care, or both make up more than 50% of the face-to-face time with the patient or family or more than 50% of the floor or unit time.

A.   Ordering diagnostic tests

B.   Performance and interpretation of diagnostic tests

C.   Reviewing laboratory results

D.   Performance and interpretation of diagnostic tests & Ordering diagnostic tests

A.   Whenever they want

B.   When key components dominate the visit

C.   When counseling and coordination of care dominate the visit

D.   When the patient requests it

A.   Only unit/floor time

B.   Both face-to-face time and unit/floor time, depending on the type of service

C.   Neither one of the options

D.   Only face-to-face time

A.   The color of the patient's clothing

B.   The documented total time

C.   The patient's age

D.   The patient's address

A.   FALSE

B.   TRUE

A.   Code 99499 should be selected for unlisted evaluation and management services

B.   Code 99211 should be selected

C.   Code 99429 should be selected for unlisted preventive medicine services

A.   If they make up more than 75% of the encounter

B.   If they make up more than 50% of the encounter

C.   If they make up more than 90% of the encounter

D.   If they make up more than 25% of the encounter

A.   Only those who are present during the encounter.

B.   Those who are responsible for patient care or decision-making, such as foster parents or a legal guardian, but payer rules may differ.

C.   Only those who are responsible for patient care or decision-making, such as foster parents or a legal guardian.

D.   Only the patient's immediate family.