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 justify reimbursement for billed services from insurance companies
B.   All of the reasons listed apply
C.   To comply with regulations and ensure accurate billing practices
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 time spent coordinating care and counseling the patient
B.   The actual time spent performing the service or procedure on a 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 counseling and coordination of care dominate the visit
B.   When documentation is unclear or incomplete
C.   When intraservice times exceed typical time ranges
D.   When key components of the service provided are met
Question #4
What should professional coders always review before coding?
A.   The applicable guidelines
B.   The insurance company's reimbursement policies
C.   The patient's medical history
D.   The physician's notes
Question #5
What is face-to-face time?
A.   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.
B.   The duration of time the physician spends with the patient and their family, including history-taking, examination, and counseling.
C.   The time the physician spends reviewing records and tests or arranging further services for the patient.
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 duration of time the physician spends with the patient and their family, including history-taking, examination, and counseling.
C.   The time the physician spends reviewing records and tests or arranging further services for the patient.
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 history and exam components are not documented.
B.   When the physician spends more than 50% of the time arranging further services for the patient.
C.   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.
D.   When the physician spends more than 50% of the time reviewing records and tests.
Question #8
Which of the following should be included in the time used to determine an appropriate E&M code?
A.   Performance and interpretation of diagnostic tests & Ordering diagnostic tests
B.   Reviewing laboratory results
C.   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 the patient requests it
B.   Whenever they want
C.   When key components dominate the visit
D.   When counseling and coordination of care dominate the visit
Question #10
What is included in the intraservice times for non-office E & M descriptors?
A.   Neither one of the options
B.   Both face-to-face time and unit/floor time, depending on the type of service
C.   Only unit/floor time
D.   Only face-to-face time
Question #11
What is important when selecting E&M codes based on documentation?
A.   The color of the patient's clothing
B.   The documented total time
C.   The patient's address
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 75% of the encounter
B.   If they make up more than 90% of the encounter
C.   If they make up more than 50% 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.   Only those who are present during the encounter.
B.   Only the patient's immediate family.
C.   Those who are responsible for patient care or decision-making, such as foster parents or a legal guardian, but payer rules may differ.
D.   Only those who are responsible for patient care or decision-making, such as foster parents or a legal guardian.

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