MOA 193 - Current Procedural Term Coding » Spring 2023 » Digital Review & Assignment 8
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Question #1
Why is it important for physicians and healthcare professionals to understand how to correctly document their patient charts to reflect the time spent with their patients?
A.
To comply with regulations and ensure accurate billing practices
B.
All of the reasons listed apply
C.
To justify reimbursement for billed services from insurance companies
D.
To track a patient's progress over time and make informed decisions about their treatment plan
Question #2
To justify reimbursement for billed services from insurance companies
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
Question #3
When can physicians use the time listed in the code descriptor to select the appropriate E & M service level?
A.
When documentation is unclear or incomplete
B.
When key components of the service provided are met
C.
When counseling and coordination of care dominate the visit
D.
When intraservice times exceed typical time ranges
Question #4
What should professional coders always review before coding?
A.
The physician's notes
B.
The patient's medical history
C.
The applicable guidelines
D.
The insurance company's reimbursement policies
Question #5
What is face-to-face time?
A.
The time the physician spends reviewing records and tests or arranging further services for the patient.
B.
The duration of time the physician spends with the patient and their family, including history-taking, examination, and counseling.
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 spent on pre- and post-encounter activities.
Question #6
What does unit/floor time represent?
A.
The time spent on pre- and post-encounter activities.
B.
The time the physician spends reviewing records and tests or arranging further services for the patient.
C.
The duration of time the physician spends with the patient and their family, including history-taking, examination, and counseling.
D.
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.
Question #7
When should time be used as the controlling factor in non-office E&M code selection?
A.
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.
B.
When the physician spends more than 50% of the time arranging further services for the patient.
C.
When the physician spends more than 50% of the time reviewing records and tests.
D.
When history and exam components are not documented.
Question #8
Which of the following should be included in the time used to determine an appropriate E&M code?
A.
Ordering diagnostic tests
B.
Reviewing laboratory results
C.
Performance and interpretation of diagnostic tests & Ordering diagnostic tests
D.
Performance and interpretation of diagnostic tests
Question #9
When can physicians use the time listed in the code descriptor to select the appropriate E & M service level?
A.
When counseling and coordination of care dominate the visit
B.
When the patient requests it
C.
Whenever they want
D.
When key components dominate the visit
Question #10
What is included in the intraservice times for non-office E & M descriptors?
A.
Both face-to-face time and unit/floor time, depending on the type of service
B.
Only unit/floor time
C.
Only face-to-face time
D.
Neither one of the options
Question #11
What is important when selecting E&M codes based on documentation?
A.
The documented total time
B.
The patient's address
C.
The color of the patient's clothing
D.
The patient's age
Question #12
All E&M code descriptors indicate the amount of time typically spent on a service level?
A.
TRUE
B.
FALSE
Question #13
What should be done if an E&M service is not identified with a specific code in the CPT code set?
A.
Code 99429 should be selected for unlisted preventive medicine services
B.
Code 99499 should be selected for unlisted evaluation and management services
C.
Code 99211 should be selected
Question #14
When can counseling and coordination of care be used as the key factor for selecting a particular E&M code?
A.
If they make up more than 90% of the encounter
B.
If they make up more than 50% of the encounter
C.
If they make up more than 75% of the encounter
D.
If they make up more than 25% of the encounter
Question #15
Who is included in the term "family" for E&M reporting purposes?
A.
Those who are responsible for patient care or decision-making, such as foster parents or a legal guardian, but payer rules may differ.
B.
Only the patient's immediate family.
C.
Only those who are present during the encounter.
D.
Only those who are responsible for patient care or decision-making, such as foster parents or a legal guardian.
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